Individual
MARISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 TOWN CENTER DR, ODENTON, MD 21113-4040
(410) 222-0937
Mailing address
9205 LIVERY LN APT P, LAUREL, MD 20723-1613
(513) 537-4448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03145L
MD
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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