Individual
MS. JESSIE C LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
9105 FRANKLIN SQUARE DR, ROSEDALE, MD 21237-3930
(410) 382-8979
Mailing address
2204 MIDRIDGE RD, LUTHERVILLE TIMONIUM, MD 21093-3225
(410) 321-8844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02069
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811100001
BCBS
MD
Enumeration date
05/04/2007
Last updated
12/19/2023
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