Individual
MARY JULIE KIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 880-5840
Mailing address
6034 RIVER BIRCH CT, HANOVER, MD 21076-1058
(410) 578-2258
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05423
MD
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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