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Individual

FAITH LANE PEASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-5984
(443) 984-2000
Mailing address
200 E NORTH AVE, BALTIMORE, MD 21202-5984

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10421
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
419800000
MD
Enumeration date
08/02/2021
Last updated
09/05/2025
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