Individual
MARISSA L MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1655 E 6TH ST # 204, CORONA, CA 92879-1732
(909) 833-1099
Mailing address
310 N INDIAN HILL BLVD # 413, CLAREMONT, CA 91711-4611
(909) 833-1099
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6468
CA
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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