Individual
SUSAN SANCILIO LA COUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
103 BIRDWOOD AVE, CATONSVILLE, MD 21228-4969
(410) 719-2688
Mailing address
103 BIRDWOOD AVE, CATONSVILLE, MD 21228-4969
(410) 719-2688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02542
MD
Other
Enumeration date
07/26/2013
Last updated
08/08/2013
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