MARISA SMALL

BELFAST, ME
NPI1861702219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  SP1634)
Enumeration Date2010-10-19
Last Update Date2010-10-19
Business Address
-- MARISA SMALL
118 NORTHPORT AVE
BELFAST, ME 04915-6009
Phone number: 207-338-2500
Mailing Address
-- MARISA SMALL
118 NORTHPORT AVE
BELFAST, ME 04915-6009
Phone number: 207-338-2500