Individual
LYNNE A FADEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 SETON DR, BALTIMORE, MD 21215-3210
(410) 358-8270
(410) 358-0895
Mailing address
4810 SETON DR, BALTIMORE, MD 21215-3210
(410) 581-2851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03854
MD
Other
Enumeration date
11/14/2018
Last updated
01/15/2020
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