Individual
MISS MARISHA TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8212 ITHACA AVE, SUITE E-12, LUBBOCK, TX 79423-2632
(505) 330-9870
Mailing address
8212 ITHACA AVE, SUITE E-12, LUBBOCK, TX 79423-2632
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201623
TX
Other
Enumeration date
03/17/2014
Last updated
12/04/2014
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