Individual
MARK MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 14TH ST, MODESTO, CA 95354-2506
(209) 525-6041
Mailing address
1521 HAMILTON AVE, MODESTO, CA 95350-2034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ASW19823
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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