Individual
CELIA MARIE O'FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MADISON ST, FREDERICK, MD 21701-6563
(301) 644-5268
Mailing address
250 MADISON ST, FREDERICK, MD 21701-6563
(301) 644-5268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541628100
—
MD
Enumeration date
11/08/2018
Last updated
11/08/2018
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