Individual
JULIA KUSTUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 PETERSBURG RD, DAVIDSONVILLE, MD 21035-1914
(443) 995-4382
Mailing address
711 PETERSBURG RD, DAVIDSONVILLE, MD 21035-1914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07812
MD
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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