Individual
ELLEN A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-2524
Mailing address
10732 ENFIELD DR, WOODSTOCK, MD 21163-1416
(443) 413-6934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04794
MD
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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