Individual
MARISA MUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1000
(502) 596-1414
Mailing address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
09-008
KY
Other
Enumeration date
04/22/2010
Last updated
11/07/2011
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