Individual
NANCY LEA DAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ROSS RD, BEL AIR, MD 21014-1924
(443) 845-6520
Mailing address
1500 ROSS RD, BEL AIR, MD 21014-1924
(443) 845-6520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05557
MD
Other
Enumeration date
02/16/2019
Last updated
02/16/2019
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