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Individual

LILLIAN BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9 HURDLEFORD CT, BALTIMORE, MD 21209-1070
(410) 484-1077
Mailing address
6901 N CHARLES ST, TOWSON, MD 21204-3780

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00916
MD

Other

Enumeration date
04/08/2019
Last updated
12/07/2021
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