Individual
SOSENA DEMISSIE MELESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8840 STANFORD BLVD STE 1900, COLUMBIA, MD 21045-5910
(410) 404-9713
(210) 568-4123
Mailing address
7930 PETTIGREW ST, ELKRIDGE, MD 21075-7957
(301) 605-3816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03090L
MD
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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