Individual
MRS. CARYL DENISE KING GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
501 WATKINS PARK DR, UPPER MARLBORO, MD 20774-8801
(301) 218-3040
Mailing address
12713 QUARTERHORSE DR, BOWIE, MD 20720-4324
(301) 805-4685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07545
MD
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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