Individual
MRS. MARISSA NICOLE QUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
6850 N MONTGOMERY CIR, RIDGEFIELD, WA 98642-5577
(503) 313-5925
Mailing address
6850 N MONTGOMERY CIR, RIDGEFIELD, WA 98642-5577
(503) 313-5925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14261673
WA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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