Individual
MR. DAMIEN J MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
10320 SWIFT STREAM PL APT 203, COLUMBIA, MD 21044-4894
(813) 244-7386
Mailing address
10045 BALTIMORE NATIONAL PIKE UNIT A7 #679, ELLICOTT CITY, MD 21042
(813) 244-7386
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02397L
MD
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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