Individual
KATELYN SARAH FULMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. , CCC-SLP
Contact information
Practice address
191 S EAST ST, FREDERICK, MD 21701-5918
(301) 644-5000
Mailing address
191 S EAST ST, FREDERICK, MD 21701-5918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10682
MD
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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