Individual
MARISA PROKARYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 S NEW RD APT 722, WACO, TX 76711-1819
(254) 291-0464
Mailing address
2100 S NEW RD APT 722, WACO, TX 76711-1819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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