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Individual

MARISSA K FRESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSED, LMFTA

Contact information

Practice address
2525 LAKE AVE, FORT WAYNE, IN 46805-5407
(260) 484-4153
(260) 496-5996
Mailing address
2525 LAKE AVE, FORT WAYNE, IN 46805-5407
(260) 484-4153
(260) 496-5996

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/05/2013
Last updated
04/15/2015
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