Organization
MINDS IN MOTION CHILDREN'S CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATISHA JANNELL GASAWAY (CO-OWNER)
(301) 977-9393
Entity
Organization
Contact information
Practice address
8041 CESSNA AVE, STE 232, GAITHERSBURG, MD 20879-4169
(301) 977-9393
(301) 977-9394
Mailing address
8041 CESSNA AVE, STE 232, GAITHERSBURG, MD 20879-4169
(301) 977-9393
(301) 977-9394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
158434
MD
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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