Individual
TAMEKA M NOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1450 FURNACE AVE, GLEN BURNIE, MD 21060-7002
(443) 510-4589
Mailing address
7830 COLDBROOKE DR, SEVERN, MD 21144-2005
(443) 694-6643
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03673
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N450785603967
—
MD
Enumeration date
12/20/2018
Last updated
12/20/2018
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