Individual
JILL SUZANNE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7905 OMEGA CT, KINGSVILLE, MD 21087-1533
(410) 458-0633
Mailing address
7905 OMEGA CT, KINGSVILLE, MD 21087-1533
(410) 458-0633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02254
MD
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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