Individual
ERICA REPAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10435 DOWNSVILLE PIKE, HAGERSTOWN, MD 21740-1732
(301) 766-8222
Mailing address
9702 CLYDELEVEN DR, HAGERSTOWN, MD 21740-1818
(443) 610-3772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06961
MD
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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