Individual
MRS. MACKENZIE DUMAR-SILLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1026 CROMWELL BRIDGE RD, BALTIMORE, MD 21286-3308
(410) 583-1515
(410) 583-2491
Mailing address
121 S FREMONT AVE, APT 331, BALTIMORE, MD 21201-1037
(410) 583-1515
(410) 583-2491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05360
MD
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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