Individual
MARILYN MARTINEZ-BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
1872 WAVERLAND DR, MACON, GA 31211-1122
(800) 259-9897
Mailing address
1872 WAVERLAND DR, MACON, GA 31211-1122
(800) 259-9897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110411
TX
Other
Enumeration date
07/21/2014
Last updated
04/17/2015
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