Individual
SUSAN VAZZANA CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
2422 MUNFORD DR, FALLSTON, MD 21047-2219
(443) 417-5018
Mailing address
2422 MUNFORD DR, FALLSTON, MD 21047-2219
(443) 417-5018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02163
MD
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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