Individual
LAURA GOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5702 SARGENT RD, CHILLUM, MD 20782-2321
(410) 444-3800
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
MD
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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