Individual
JEWEL MARCIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PONTIAC AVE, BALTIMORE, MD 21225-2042
(410) 396-1404
Mailing address
2244 CONQUEST WAY, ODENTON, MD 21113-2602
(240) 360-6380
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
00981A
MD
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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