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1861702219
MARISA SMALL
BELFAST, ME
NPI
1861702219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME SP1634)
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
-- MARISA SMALL
118 NORTHPORT AVE
BELFAST, ME 04915-6009
Phone number: 207-338-2500
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Mailing Address
-- MARISA SMALL
118 NORTHPORT AVE
BELFAST, ME 04915-6009
Phone number: 207-338-2500
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