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Individual

MRS. SUZANNE SULLIVAN GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED/CCC-SLP

Contact information

Practice address
4730 ATRIUM CT, OWINGS MILLS, MD 21117-3556
(410) 363-4790
Mailing address
14516 CUBA RD, COCKEYSVILLE, MD 21030-1012
(410) 527-1075

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06788
MD

Other

Enumeration date
06/14/2012
Last updated
06/14/2012
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