Individual
MARISSA DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2459
Mailing address
3846A MOSS CIR, FORT SILL, OK 73503-4599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125951573501
UT
Other
Enumeration date
01/21/2022
Last updated
12/09/2024
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