Individual
CARMEN MBWANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
197 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4314
(240) 415-8885
Mailing address
197 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4314
(301) 662-1997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010954
PA
Other
Enumeration date
08/20/2013
Last updated
05/07/2019
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