Individual
FRANCES LICIA MINANO LADAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4485 FORBES BLVD., LANHAM, MD 20706
(301) 429-2900
(443) 458-7242
Mailing address
601 EVENING STAR PL, BOWIE, MD 20721
(301) 633-5604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02486
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2021
Last updated
04/16/2024
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