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Individual

MR. RICKY MATHIS STINSON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 E PENNSYLVANIA AVE, TOWSON, MD 21286-0704
(410) 825-9445
Mailing address
100 E PENNSYLVANIA AVE, TOWSON, MD 21286-0704
(410) 825-9445

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06306
MD

Other

Enumeration date
02/13/2011
Last updated
02/13/2011
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