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Individual
MARISA REVEL FLORES
Active
Individual
MARISA REVEL FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY34746
CA
103T00000X
Psychologist
Primary
PSY34736
CA
103TC0700X
Clinical Psychologist
PSY34736
CA
103TR0400X
Rehabilitation Psychologist
PSY34746
CA
Other
Enumeration date
01/25/2024
Last updated
09/05/2024
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