Individual
MEGHAN PANGBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(561) 281-8822
Mailing address
951 FELL ST APT 635, BALTIMORE, MD 21231-3597
(561) 281-8822
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
06/18/2010
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