Individual
GRACE MARGARET POTKOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-6600
Mailing address
5935 WESTERN PARK DR APT D, BALTIMORE, MD 21209-3450
(267) 328-8157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09908
MD
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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