Individual
ROMA MARISA SHICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
158 PRIMARY SCHOOL DR, MADISON, VA 22727-3008
(540) 948-3781
Mailing address
123 SYDNEY WAY, PALMYRA, VA 22963-5447
(518) 727-8546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008311
VA
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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