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Individual

MARISA HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LEP

Contact information

Practice address
3711 N HARBOR BLVD, SUITE C, FULLERTON, CA 92835-1362
(657) 464-5188
Mailing address
5545 WOODRUFF AVE, #35, LAKEWOOD, CA 90713-1534
(657) 464-5188

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3486
CA

Other

Enumeration date
05/10/2017
Last updated
05/10/2017
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