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Individual
MRS. MARISA GLADYS VACCALLUZZO
Active
Individual
MRS. MARISA GLADYS VACCALLUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000514
DC
235Z00000X
Speech-Language Pathologist
06486
MD
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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