Individual
MRS. CARRIE POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
11690 NEELSVILLE CHURCH RD, GERMANTOWN, MD 20876-4127
(301) 353-0972
Mailing address
9700 GLADE RD, WALKERSVILLE, MD 21793-9513
(301) 305-1311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05326
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05326
MARYLAND LICENSE IN SPEECH LANGUAGE PATHOLOGY
MD
Enumeration date
11/19/2018
Last updated
11/19/2018
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