Individual
MRS. MONIQUE CEVASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
801 ARGONNE DR, BALTIMORE, MD 21218-1943
(410) 889-5054
Mailing address
801 ARGONNE DR, BALTIMORE, MD 21218-1943
(410) 889-5054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07800
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07800
MARYLAND STATE LICENSE OF SPEECH-LANGUAGE PATHOLOGY
MD
Enumeration date
11/13/2018
Last updated
11/13/2018
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