Individual
LISA MARNIE BOXBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11614 SEVEN LOCKS RD, POTOMAC, MD 20854-3261
(267) 241-6801
Mailing address
12265 GREENLEAF AVE, POTOMAC, MD 20854-3328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09696
MD
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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