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Individual
MARISSA CANGIN
Active
Individual
MARISSA CANGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3653
NC
103TC0700X
Clinical Psychologist
Primary
PSY27898
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001126
—
NC
Enumeration date
07/20/2007
Last updated
11/18/2020
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