Individual
MARISSA DYKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E PIONEER AVE STE 203, HOMER, AK 99603-7694
(907) 435-1071
Mailing address
314 E CHESTNUT ST, CENTRALIA, WA 98531-3816
(360) 388-7172
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
231416
AK
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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