Individual
ELIZABETH MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 OAK DR STE B, MARYVILLE, IL 62062-5635
(618) 972-1568
(618) 205-3561
Mailing address
5753 DELOR ST, SAINT LOUIS, MO 63109-2831
(314) 740-0700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001426
IL
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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