Individual
MS. MARISSA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TSHH
Contact information
Practice address
1500 DAYSPRING RDG, WALWORTH, NY 14568-9517
(315) 986-3521
Mailing address
1500 DAYSPRING RDG, WALWORTH, NY 14568-9517
(315) 986-3521
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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