Individual
MARISA CHRISTINE CAPONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3541 RANDOLPH RD STE 100W, CHARLOTTE, NC 28211-1082
(708) 740-4271
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
(708) 740-4271
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6781
NC
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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