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Individual

MARISSA SILVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC, SLP

Contact information

Practice address
1040 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8402
(803) 567-3348
(803) 728-3044
Mailing address
120 BEACON LN, COLUMBIA, SC 29229-7524
(559) 901-8235

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
37681
CA
235Z00000X
Speech-Language Pathologist
Primary
8178
SC

Other

Enumeration date
09/12/2022
Last updated
09/16/2024
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