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Individual

IASIA HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6334 CEDAR LN, COLUMBIA, MD 21044-3898
(302) 387-3887
Mailing address
6334 CEDAR LN, COLUMBIA, MD 21044-3898
(302) 387-3887

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/15/2023
Last updated
05/15/2023
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