Individual
EARLEY EBORN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 1ST ST NW, WASHINGTON, DC 20001-1763
(202) 518-7207
Mailing address
1400 1ST ST NW, WASHINGTON, DC 20001-1763
(202) 518-7207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001114
DC
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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