Individual
MRS. MARISSA BRIANNA GARVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1309 OAK AVE, SUITE 210, WACONIA, MN 55387-1078
(952) 223-2506
(952) 443-2038
Mailing address
1309 OAK AVE, SUITE 210, WACONIA, MN 55387-1078
(952) 223-2506
(952) 443-2038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9394
MN
235Z00000X
Speech-Language Pathologist
SZ6115
FL
Other
Enumeration date
01/17/2013
Last updated
11/17/2014
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