Organization
MARCIO GUZMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIO GUZMAN (PSYCHOTHERAPIST)
(630) 991-8315
Entity
Organization
Contact information
Practice address
1855 BOWLES AVE, SUITE 210, FENTON, MO 63026-1900
(630) 991-8315
Mailing address
7746 DELMAR BLVD, APT 1F, SAINT LOUIS, MO 63130-3917
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2013005503
MO
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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