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Individual

SHAWNDA METELLUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
4200 FORBES BLVD STE 112, LANHAM, MD 20706-4342
(301) 661-4729
(480) 287-8119
Mailing address
4200 FORBES BLVD STE 112, LANHAM, MD 20706-4342
(301) 661-4729
(480) 287-8119

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04927
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012762100
MD
Enumeration date
03/27/2007
Last updated
07/07/2022
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