Individual
MIRANDA THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 ARMSTRONG ST, CENTREVILLE, MD 21617-2125
(410) 758-2323
Mailing address
1200 S WASHINGTON ST APT 605, EASTON, MD 21601-4337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01676L
MD
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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