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Individual
JEAN MARIE MARX
Active
Individual
JEAN MARIE MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
021740-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
CFY
NY
Enumeration date
12/30/2010
Last updated
03/27/2012
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