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Individual

MISS TRACEY CALVO CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1300 MERCANTILE LN, UPPER MARLBORO, MD 20774-5327
(202) 540-0580
Mailing address
14201 SCHOOL LN RM 111, UPPER MARLBORO, MD 20772-2866
(301) 952-6001

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07910
MD

Other

Enumeration date
03/14/2016
Last updated
05/09/2018
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