Individual
MARISSA G D'URSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-5100
Mailing address
2181 SE ABCOR RD, PORT ST LUCIE, FL 34952-5649
(908) 839-0086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011863
GA
Other
Enumeration date
08/23/2019
Last updated
03/14/2024
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