Individual
MISS DANA MARIE MAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-7358
Mailing address
2633 MUSCADINE DR, AUGUSTA, GA 30909-1707
(706) 922-7986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00588000
NJ
Other
Enumeration date
09/07/2009
Last updated
09/04/2012
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