Individual
DR. DEBRA S. MARSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4200 N OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 794-4165
Mailing address
4200 N OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 794-4165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005797
IL
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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