Individual
MADELINE MARUSARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
300 W MAIN ST, BATTLE GROUND, WA 98604-4410
(360) 885-6550
Mailing address
7505 SE FIRENZE LN, PORTLAND, OR 97206-4353
(262) 490-8779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60786100
WA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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