Individual
MARISSA DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
30 GLADE RUN DR, ZELIENOPLE, PA 16063-2200
(724) 452-4453
Mailing address
448 FRENZ DR, NEW CASTLE, PA 16101-1188
(724) 971-2461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
COUNSELOR
PA
Enumeration date
09/29/2022
Last updated
09/29/2022
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