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Individual

LISA M BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
14299 BENEDICTINE LN, RIDGELY, MD 21660-1434
(410) 941-8022
Mailing address
14299 BENEDICTINE LN, RIDGELY, MD 21660-1434
(106) 342-1124

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06275
MD

Other

Enumeration date
12/11/2009
Last updated
10/26/2018
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