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Individual

MS. LISA JOAN TUIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
4109 WOODBERRY ST, UNIVERSITY PARK, MD 20782-1170
(301) 864-0653
Mailing address
4109 WOODBERRY ST, UNIVERSITY PARK, MD 20782-1170
(301) 864-0653

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07390
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07390
BOARD OF AUDIOLOGISTS, HEARING AID DISPENSERS & SPEECH-LANGUAGE PATHOLOGISTS
MD
Enumeration date
08/28/2019
Last updated
08/28/2019
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