Individual
MARISSA MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 16TH ST NE, KASSON, MN 55944-1610
(507) 634-1100
Mailing address
101 16TH ST NE, KASSON, MN 55944-1610
(507) 634-1100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MN
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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