Individual
JILLIAN DE LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
5901 HOLABIRD AVE, BALTIMORE, MD 21224-6015
(630) 202-8180
Mailing address
10941 HILLTOP LN APT 108, COLUMBIA, MD 21044-3782
(610) 220-2593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06966
MD
Other
Enumeration date
08/05/2012
Last updated
11/27/2023
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