Individual
JACLYN COLOPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 THOMAS RUN RD, BEL AIR, MD 21015-1616
(410) 638-3823
Mailing address
1611 AMYCLAE DR, BEL AIR, MD 21015-2015
(443) 987-7039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08867
MD
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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