Individual
MARJORIE BETH BIANCUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP MS,CCC
Contact information
Practice address
2 COX CT, BRISTOL, RI 02809-4427
(401) 316-4146
Mailing address
2 COX CT, BRISTOL, RI 02809-4427
(401) 316-4146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00737
RI
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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