Individual
KAYLA S PAVLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12520 PROSPERITY DR STE 210, SILVER SPRING, MD 20904
(301) 389-7505
Mailing address
8725 CONTEE RD APT 104, LAUREL, MD 20708-1904
(814) 335-7073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MD
Other
Enumeration date
06/04/2018
Last updated
07/28/2018
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