Individual
JEANELLE LEONCE KIARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12650 BROOKE LN, UPPER MARLBORO, MD 20772-9337
(301) 780-2100
Mailing address
12650 BROOKE LN, UPPER MARLBORO, MD 20772-9337
(301) 780-2100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08235
MD
235Z00000X
Speech-Language Pathologist
2202009103
VA
Other
Enumeration date
09/11/2019
Last updated
05/15/2020
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