Individual
KATHRYN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 REISTERSTOWN RD STE 226, PIKESVILLE, MD 21208-1416
(410) 846-4005
Mailing address
215 E CHURCHILL ST, BALTIMORE, MD 21230-3917
(336) 202-8717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10658
MD
Other
Enumeration date
02/12/2020
Last updated
02/15/2024
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