Individual
MARILEE LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-3107
(757) 648-5604
Mailing address
1941 WHITE MARSH RD, SUFFOLK, VA 23434-8922
(757) 809-4999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000031
VA
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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