Individual
MARIE TANA LUZINCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 RADIO STATION RD, LA PLATA, MD 20646-3337
(301) 932-6610
Mailing address
2807 NOMAD CT E, BOWIE, MD 20716-1469
(202) 640-3339
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
00084L
MD
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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