Individual
JELIST CHAWCHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 CHAPEL HILL DR, ROSEDALE, MD 21237-1810
(443) 921-6981
Mailing address
1516 CHAPEL HILL DR, ROSEDALE, MD 21237-1810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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