Individual
MEGAN MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 COLORADO AVE, PUEBLO, CO 81004-2046
(719) 948-7120
Mailing address
550 S WATERMELON DR, PUEBLO WEST, CO 81007-2826
(614) 738-1785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0004026
CO
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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