Individual
MARTINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
101 E WELLS ST APT A406, BALTIMORE, MD 21230-4859
(646) 629-5272
Mailing address
PO BOX 23107, BALTIMORE, MD 21203-5107
(667) 212-4277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08143
MD
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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