Individual
MARISA REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
313 S 5TH ST, ODESSA, DE 19730-2078
(302) 376-4128
Mailing address
313 S 5TH ST, ODESSA, DE 19730-2078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O1-0001614
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O1-0001614
STATE LICENSE
DE
Enumeration date
08/30/2017
Last updated
07/21/2021
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