Organization
MARINE INFORMATION RESOURCES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA D NICHOLS M.S., CCC-SLP (TREASURER)
(443) 286-8397
Entity
Organization
Contact information
Practice address
12337 PANS SPRING CT, ELLICOTT CITY, MD 21042-1338
(443) 286-8397
Mailing address
12337 PANS SPRING CT, ELLICOTT CITY, MD 21042-1338
(144) 328-6839
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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