Individual
MARISSA FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 S LAKEPORT ST STE 102, SIOUX CITY, IA 51106-9533
(712) 224-2150
Mailing address
PO BOX 272, MOVILLE, IA 51039-0272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117921
IA
Other
Enumeration date
12/30/2022
Last updated
03/06/2025
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