Individual
MARIELLA NOLFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
326 SW 7TH ST, REDMOND, OR 97756-2205
(541) 638-0194
Mailing address
14380 SE WINCHESTER LOOP, PRINEVILLE, OR 97754-8765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016159
OR
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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