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Individual

MRS. JAMIE SURELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP

Contact information

Practice address
14409 GREENVIEW DR, SUITE 102, LAUREL, MD 20708-3293
(301) 498-8100
Mailing address
14409 GREENVIEW DR, SUITE 102, LAUREL, MD 20708-3293
(301) 498-8100

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07490
MD

Other

Enumeration date
07/27/2016
Last updated
07/27/2016
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