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Organization

SYKESVILLE SPEECH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE CLARKE M.S., CCC-SLP (OWNER)
(443) 452-7524
Entity
Organization

Contact information

Practice address
1522 LIBERTY RD STE B, SYKESVILLE, MD 21784-6548
(443) 516-7752
(443) 281-9025
Mailing address
1814 FALLSTAFF CT, ELDERSBURG, MD 21784-6274
(443) 452-7524
(443) 281-9025

Taxonomy

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

Other

Enumeration date
01/17/2021
Last updated
01/17/2021
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