Individual
MARISSA MARION MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
72 STRAWBERRY AVE, LEWISTON, ME 04240-5952
(207) 782-2150
Mailing address
156 WINGS MILLS RD, MOUNT VERNON, ME 04352-3811
(207) 604-4547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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