Individual
JESSICA LYNN SOUDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1734 TRESTLE ST, MOUNT AIRY, MD 21771-7759
(443) 900-5095
Mailing address
1734 TRESTLE ST, MOUNT AIRY, MD 21771-7759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07675
MD
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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