Individual
EMANUELA MARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 DEWEY ST APT W, HOLLYWOOD, FL 33019-2206
(954) 937-9856
Mailing address
1322 DEWEY ST APT W, HOLLYWOOD, FL 33019-2206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ 6287
FL
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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