Individual
MRS. STACEY THIELE TIBURZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 N CHARLES ST, TOWSON, MD 21204-3780
(443) 802-4664
Mailing address
1154 SPARROW MILL WAY, BEL AIR, MD 21015-6134
(443) 802-4664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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