Individual
MISS VANESSA PEREGRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 ACADEMY RD, CATONSVILLE, MD 21228-1812
(732) 232-9119
Mailing address
510 ACADEMY RD, CATONSVILLE, MD 21228-1812
(732) 232-9119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05498
MD
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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