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Individual

DAISY MARISSA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
600 S. BOIS D'ARC ST, FORNEY, TX 75126
(469) 762-4100
Mailing address
600 S. BOIS D'ARC ST, FORNEY, TX 75126
(281) 364-9695

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39488
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376030387
TX
Enumeration date
04/16/2018
Last updated
11/22/2022
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