Individual
DR. ELISE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0907
Mailing address
4030 N CENTRAL EXPY APT 382, DALLAS, TX 75204-3252
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38251
TX
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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