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Individual

MARVIN MARQUEZ GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7570
PR
103TC2200X
Clinical Child & Adolescent Psychologist
7570
PR
103TS0200X
School Psychologist
7570
PR

Other

Enumeration date
04/27/2023
Last updated
10/15/2024
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