Individual
MS. MARILISA LAWLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4431 SW 64TH AVE, SUITE 107-108, DAVIE, FL 33314-3458
(954) 797-7430
(954) 797-6782
Mailing address
4431 SW 64TH AVE, SUITE 107-108, DAVIE, FL 33314-3458
(954) 797-7430
(954) 797-6782
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0001505
FL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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