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Individual

OLIVIA GABRIELLE LONGO RACHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S CF-SLP

Contact information

Practice address
8411 BROADBAND DR, UNIT D, FREDERICK, MD 21701
(301) 682-4803
Mailing address
11016 HANEY TER, DAMASCUS, MD 20872-1759
(443) 686-1660

Taxonomy

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

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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