Individual
KIANA GOURDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-4888
(347) 728-6151
Mailing address
2707 JENNER DR APT C, BALTIMORE, MD 21209-3046
(347) 728-6151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03012L
MD
Other
Enumeration date
01/29/2025
Last updated
06/17/2025
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