Individual
JESSICA MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
31 BERKELEY ST, PORTLAND, ME 04103-3116
(207) 329-3022
Mailing address
31 BERKELEY ST, PORTLAND, ME 04103-3116
(207) 329-3022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1223
ME
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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