Individual
MARILYN JANISSE MERCADO GIUSTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
2712 VILLA DR NW, APT B, CLEVELAND, TN 37312-1958
(787) 672-7127
Mailing address
2712 VILLA DR NW, APT B, CLEVELAND, TN 37312-1958
(787) 672-7127
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004571
PR
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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