Individual
KAITLEN DOVE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 GARDEN DR, FOREST HILL, MD 21050-3181
(443) 990-1339
Mailing address
2035 GARDEN DR, FOREST HILL, MD 21050-3181
(410) 688-3377
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
0091A
MD
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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