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1952971947
JOHANNA TIEBOSCH EBBS
FREDERICK, MD
NPI
1952971947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 08767)
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
JOHANNA TIEBOSCH EBBS SLP
194 THOMAS JOHNSON DR STE B
FREDERICK, MD 21702-4683
Phone number: 301-418-6434
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Mailing Address
JOHANNA TIEBOSCH EBBS SLP
9101 WESLEYAN RD STE 100
INDIANAPOLIS, IN 46268-3103
Phone number: 800-603-6046
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