Individual
TRACY M SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-5984
(443) 984-2000
Mailing address
510 HANNA WAY, BEL AIR, MD 21014-2600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03511
MD
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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