Individual
MS. MARISIS ALTHEA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHMHC
Contact information
Practice address
1841 BROADWAY, NEW YORK, NY 10023-7603
(212) 333-3444
Mailing address
707 PRESIDENT ST APT 2, BROOKLYN, NY 11215-1218
(917) 355-6271
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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