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Individual
MARJORIE M SMITH
Active
Individual
MARJORIE M SMITH
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
SA3404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7639395
AETNA NUMBER
FL
05
—
882739700
—
FL
05
—
882739701
—
FL
01
—
S2057
BCBS NUMBER
FL
Enumeration date
07/20/2006
Last updated
09/24/2013
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