Individual
WILLIAM LANCE JASIOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS SLP CCC
Contact information
Practice address
5330 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7831
(410) 782-0709
Mailing address
8439 OAKTON LN, ELLICOTT CITY, MD 21043-7265
(814) 657-1162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07463
MD
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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