Individual
ERIN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9999 WINTER SUN RD, LAUREL, MD 20723-5753
(410) 880-5900
Mailing address
10910 STATE ROUTE 108, ELLICOTT CITY, MD 21042-6106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11202
MD
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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