Individual
ALYSSA MARVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 MASSILLON RD., GREEN, OH 44232
(330) 896-9119
Mailing address
PO BOX 667, GREEN, OH 44232-0667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.2018616-SP
OH
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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