Individual
STEPHANIE QUAERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6546 BLACKHEAD RD, BALTIMORE, MD 21220-1211
(410) 456-0247
Mailing address
6546 BLACKHEAD RD, BALTIMORE, MD 21220-1211
(410) 456-0247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03524
MD
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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