Individual
LISA RENEE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
14201 SCHOOL LN, UPPER MARLBORO, MD 20772-2866
(301) 952-6000
Mailing address
2701 LONDON PLANE CT, WALDORF, MD 20603-3969
(301) 396-4511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06541
MD
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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