Individual
MARISSA HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 3RD AVE S STE 105, EDMONDS, WA 98020-3596
(209) 579-9444
Mailing address
295 89TH ST STE 306, DALY CITY, CA 94015-1656
(877) 264-6747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
08/05/2024
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