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Organization

RENEW SPEECH LANGUAGE PATHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DORINDA MALCOLM (SPEECH LANGUAGE PATHOLOGIST)
(240) 472-8987
Entity
Organization

Contact information

Practice address
8644 WATER FALL DR, LAUREL, MD 20723-2033
(240) 472-8987
Mailing address
8644 WATER FALL DR, LAUREL, MD 20723-2033

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03592
MD

Other

Enumeration date
06/12/2017
Last updated
06/15/2019
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