Individual
MRS. MARY O KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2805 YORK MANOR RD, PHOENIX, MD 21131-1423
(443) 318-4283
Mailing address
2805 YORK MANOR RD, PHOENIX, MD 21131-1423
(443) 318-4283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03482
MD
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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