Individual
MRS. MARISA HOOSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2001 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404-5003
(561) 841-3500
Mailing address
2001 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404-5003
(954) 546-1279
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3188
FL
Other
Enumeration date
09/01/2020
Last updated
10/14/2020
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