Individual
JOHNELLE MONIQUE LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
15300 BENNETTS RUN CT, BRANDYWINE, MD 20613-6287
(240) 530-0564
Mailing address
15300 BENNETTS RUN CT, BRANDYWINE, MD 20613-6287
(240) 530-0564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07936
MD
Other
Enumeration date
06/27/2012
Last updated
01/24/2017
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