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Individual

MR. CHASE SAMUEL MESSICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10601 CASH VALLEY RD NW, CUMBERLAND, MD 21502-6044
(301) 724-6632
Mailing address
10601 CASH VALLEY RD NW, CUMBERLAND, MD 21502-6044

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00107L
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215069612
MD
Enumeration date
03/08/2022
Last updated
03/08/2022
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