Individual
KATELYN MARY MARSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
13400 TRIADELPHIA RD, ELLICOTT CITY, MD 21042-1133
(410) 313-2560
Mailing address
3708 BOLD RULER CT, GLENELG, MD 21737-9728
(104) 635-4214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05502
MD
Other
Enumeration date
07/30/2007
Last updated
10/21/2022
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