LARISSA ANN STREET

CAMBRIDGE, MD
NPI1457829616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MD  06716)
Enumeration Date2018-11-06
Last Update Date2018-11-06
Business Address
LARISSA ANN STREET
700 GLASGOW ST
CAMBRIDGE, MD 21613-1738
Phone number: 410-228-4747
Mailing Address
LARISSA ANN STREET
26601 QUANTICO CREEK RD
HEBRON, MD 21830-2183
Phone number: 845-389-3942