Individual
PAMELA BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
114 EDGEMERE DR, ANNAPOLIS, MD 21403-3911
(410) 263-8081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05768
MD
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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