Individual
LORISA JOY LEVETIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
6901 N CHARLES ST, BALTIMORE, MD 21204-3780
(443) 809-0800
Mailing address
9982 CAPE ANN DR, COLUMBIA, MD 21046-1302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05927
MD
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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