Individual
CHRISTINA MARIE MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP/L
Contact information
Practice address
11956 JESSE DR, EDINBORO, PA 16412-4014
(551) 804-3563
Mailing address
11956 JESSE DR, EDINBORO, PA 16412-4014
(551) 804-3563
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013243
PA
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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