Individual
GWEN B KILIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 N CHARLES ST, TOWSON, MD 21204-3780
(443) 809-4554
Mailing address
955 W PADONIA RD, COCKEYSVILLE, MD 21030-1726
(804) 833-3237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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