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Individual

MISS MARISA ROSE MERCURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP/TSSLD

Contact information

Practice address
75 COUNTY ST, NORWALK, CT 06851-5505
(646) 633-6268
Mailing address
2557 SEYMOUR AVE, BRONX, NY 10469-5617
(646) 633-6268

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024672
NY
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
02/27/2014
Last updated
02/07/2020
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