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Individual

MARISSA LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.ED.

Contact information

Practice address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(888) 880-9270
Mailing address
3220 W INA RD APT 18104, TUCSON, AZ 85741-2172
(724) 689-7447

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
07/17/2014
Last updated
07/17/2014
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