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Individual

SHARON KUO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD CCC-SLP

Contact information

Practice address
2772 LIGHTHOUSE PT E UNIT 403, BALTIMORE, MD 21224-5048
(781) 354-2604
Mailing address
2772 LIGHTHOUSE PT E UNIT 403, BALTIMORE, MD 21224-5048
(781) 354-2604

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06610
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06610
MARYLAND SPEECH LANGUAGE PATHOLOGY LICENSE
MD
Enumeration date
06/05/2019
Last updated
06/05/2019
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