Organization
MARLISA VAN HOUT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLISA NANCE VAN HOUT LPA (PRESIDENT)
(910) 343-8424
Entity
Organization
Contact information
Practice address
1907 S 17TH ST, SUITE 1, WILMINGTON, NC 28401-6679
(910) 343-8424
(910) 343-6989
Mailing address
1907 S 17TH ST, SUITE 1, WILMINGTON, NC 28401-6679
(910) 343-8424
(910) 343-6989
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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