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Individual

RACHEL MACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 802-4708
Mailing address
600 N WOLFE ST, PHIPPS 446E, BALTIMORE, MD 21287

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05966
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05966
STATE OF MARYLAND - SLP LICENSE BOARD
MD
Enumeration date
02/25/2019
Last updated
02/25/2019
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