Individual
MARISA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-2500
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1634
ME
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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