Individual
MISS SANDRA ELLEN FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
7205 RUTHERFORD RD, BALTIMORE, MD 21244-2711
(443) 780-1417
Mailing address
7205 RUTHERFORD RD, BALTIMORE, MD 21244-2711
(443) 780-1417
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05162
MD
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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