Individual
ELIZABETH KENNY DUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 258-0199
Mailing address
4832 AVOCA AVE, ELLICOTT CITY, MD 21043-6610
(410) 258-0199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04299
MD
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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