Individual
JESSICA TELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC SLP
Contact information
Practice address
1825 BANK ST, BALTIMORE, MD 21231-2509
(443) 812-1524
Mailing address
1825 BANK ST, BALTIMORE, MD 21231-2509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06953
MD
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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