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Individual

MARILYN HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 FRANKLIN ST, HAMPTON, VA 23669-3568
(757) 236-2505
Mailing address
1414 CALDWELL DR, HAMPTON, VA 23666-2428

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2202001819
VA
Enumeration date
01/29/2018
Last updated
01/29/2018
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