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Individual

ANNIKA MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 SWIFT, LAKE FOREST, CA 92630-1444
(435) 640-9556
Mailing address
35 SWIFT, LAKE FOREST, CA 92630-1444
(435) 640-9556

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13475111-3902
UT
106H00000X
Marriage & Family Therapist
7983
SC

Other

Enumeration date
09/15/2015
Last updated
05/09/2024
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