Individual
MS. LAURETTE MICHELE CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8125 OLD STOCKBRIDGE DR, ELLICOTT CITY, MD 21043-6906
(410) 313-5057
Mailing address
4618 ROUNDHILL RD, ELLICOTT CITY, MD 21043-6733
(443) 472-5385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04666
MD
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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