Individual
OLIVIA CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 SOUTHAVEN RD, ANNAPOLIS, MD 21401-7122
(410) 897-1300
Mailing address
2700 SOUTHAVEN RD, ANNAPOLIS, MD 21401-7122
(410) 897-1300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14064511
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750402343
—
MD
Enumeration date
02/21/2019
Last updated
02/21/2019
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