Individual
AMY NICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 WICOMICO RD, BALTIMORE, MD 21221-1545
(410) 913-1135
Mailing address
2217 WICOMICO RD, BALTIMORE, MD 21221-1545
(410) 686-8535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06444
MD
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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