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1891368924
MARISSA VIDAL
ROCKVILLE, MD
NPI
1891368924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 02327L)
Enumeration Date
2021-07-16
Last Update Date
2021-07-16
Business Address
MARISSA VIDAL
15850 CRABBS BRANCH WAY # 150
ROCKVILLE, MD 20855-2622
Phone number: 301-869-7505
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Mailing Address
MARISSA VIDAL
9916 SHELBURNE TER APT 202
GAITHERSBURG, MD 20878-5323
Phone number:
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