Individual
MRS. MARISA RAE SOLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5010 N STONE MILL RD # B, BLOOMINGTON, IN 47408-9320
(812) 929-2193
Mailing address
5010 N STONE MILL RD # B, BLOOMINGTON, IN 47408-9320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/25/2017
Last updated
01/17/2025
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