Individual
MARISSA NICOLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E 169TH ST, CLEVELAND, OH 44110-1521
(216) 533-7744
Mailing address
1010 E 169TH ST, CLEVELAND, OH 44110-1521
(216) 307-5379
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
05/14/2026
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