Individual
MS. JENNA RASCHIATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
114 S MAIN ST, GALENA, MD 21635-1525
(410) 810-2510
Mailing address
5608 BOUNDARY AVE, ROCK HALL, MD 21661-1604
(410) 778-6422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01980L
MD
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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