Individual
GRACIE RAE GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 S HICKORY AVE, BEL AIR, MD 21014-3731
(410) 838-7300
Mailing address
3311A CLAYTON RD, JOPPA, MD 21085-2601
(410) 804-1636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11570
MD
Other
Enumeration date
06/25/2024
Last updated
06/06/2025
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