Individual
KAELYN CAPOTOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 S EAST ST, FREDERICK, MD 21701-5918
(301) 644-5282
Mailing address
119 BISHOPSTONE CT, FREDERICK, MD 21702-4387
(240) 505-2442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407900178
—
MD
Enumeration date
01/03/2020
Last updated
01/03/2020
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