Individual
MARISSA M SLABOSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
5034 S EAST TORCH LAKE DR, BELLAIRE, MI 49615-9350
(231) 676-4205
Mailing address
5034 S EAST TORCH LAKE DR, BELLAIRE, MI 49615-9350
(231) 676-4205
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010150
MI
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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