Individual
MARISA LEE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
9553 BIRMINGHAM DR, MANASSAS, VA 20111-2409
(703) 530-7541
Mailing address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-7200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008203
VA
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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