Individual
JENNA PRAMUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4620 DILLON PL, BALTIMORE, MD 21224-5190
(570) 691-8149
Mailing address
10730A WHITE TRILLIUM RD APT 102, PERRY HALL, MD 21128-9946
(570) 691-8149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08526
MD
Other
Enumeration date
04/03/2019
Last updated
07/13/2022
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