Individual
JENELLE ANN STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 MIDCOUNTY HWY, GAITHERSBURG, MD 20877-5100
(301) 947-6000
Mailing address
1401 ROCKVILLE PIKE, ROCKVILLE, MD 20852-1428
(301) 947-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04432
MD
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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