Individual
M KIM MCSORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CHESTERFIELD AVE, CENTREVILLE, MD 21617-1308
(410) 758-2403
Mailing address
202 FAIRVIEW DR, CHESTERTOWN, MD 21620-2883
(410) 778-3116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00786
MD
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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