Organization
MT. AIRY SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLEN WHITMORE (OWNER)
(443) 691-7661
Entity
Organization
Contact information
Practice address
2015 DAMON DR, MOUNT AIRY, MD 21771-6105
(443) 691-7661
Mailing address
2015 DAMON DR, MOUNT AIRY, MD 21771-6105
(443) 691-7661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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