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Individual

LILLA ISABELLE SALVESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS SLP CFY

Contact information

Practice address
8644 WATER FALL DR, LAUREL, MD 20723-2033
(410) 656-2622
Mailing address
1401 OAK BLUFF RD, EDGEWATER, MD 21037-2133
(443) 758-8900

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02213L
MD

Other

Enumeration date
09/26/2020
Last updated
09/26/2020
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