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1144877168
LARISSA MICHELLE VANSICE
LA PLATA, MD
NPI
1144877168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
LARISSA MICHELLE VANSICE
5980 RADIO STATION RD
LA PLATA, MD 20646-3337
Phone number: 301-932-6610
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Mailing Address
LARISSA MICHELLE VANSICE
711 QUEEN ST
OWOSSO, MI 48867-2459
Phone number: 989-494-3665
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