Individual
MARYANNE FISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8844 HIGHWAY 133, SOMERSET, CO 81434-9610
(719) 896-1154
Mailing address
8844 HIGHWAY 133, SOMERSET, CO 81434-9610
(719) 896-1154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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