Individual
ANDRIA ADEGBESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MELROSE AVE, GLEN BURNIE, MD 21061-2050
(410) 222-6409
Mailing address
415 MELROSE AVE, GLEN BURNIE, MD 21061-2050
(410) 222-6409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7408
—
MD
Enumeration date
12/03/2018
Last updated
08/21/2020
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