Individual
MS. LUWAN R COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4601 FORBES BLVD, LANHAM, MD 20706-4807
(301) 306-4590
Mailing address
19942 DREXEL HILL CIR, MONTGOMERY VILLAGE, MD 20886-4933
(240) 477-8329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521881875
INTERDYNAMIC INC
MD
Enumeration date
07/19/2011
Last updated
07/19/2011
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