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Individual

MRS. LAURA CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M,A., CCC-SLP

Contact information

Practice address
11908 BRISTOL MANOR CT, N BETHESDA, MD 20852-5804
(301) 881-1394
Mailing address
18603 POPLAR GLEN CT, BOYDS, MD 20841-4230

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
02/02/2015
Last updated
02/02/2015
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