Individual
MIRIAM TRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 OVERBROOK ROAD, BALTIMORE, MD 21212
(410) 377-4921
Mailing address
500 OVERBROOK ROAD, BALTIMORE, MD 21212
(410) 377-4921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00865
MD
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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