Individual
MERISSA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5427 GEX RD, DIAMONDHEAD, MS 39525-3208
(228) 255-4832
Mailing address
5427 GEX RD, DIAMONDHEAD, MS 39525-3208
(228) 255-4832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3323
MS
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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