Individual
MRS. MICHELE SUZANNE LAURET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2814A WILDWOOD CT, WALKERSVILLE, MD 21793-8003
(301) 845-2336
Mailing address
2424 GRAYSTONE LN, FREDERICK, MD 21702-9452
(240) 994-6342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06049
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06049
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
MD
Enumeration date
09/19/2011
Last updated
09/19/2011
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