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Individual

MS. MARY ELIZABETH MARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD.

Contact information

Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
Mailing address
1165 MORRIS PARK AVE, BRONX, NY 10461-1915
(347) 400-4766

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
022178
NY
103TC0700X
Clinical Psychologist
Primary
048.0131724
VT

Other

Enumeration date
06/23/2014
Last updated
07/21/2022
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