MARISSA ANN WIDENER

PHOENIX, AZ
NPI1104525880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-21828)
Enumeration Date2023-03-01
Last Update Date2023-03-01
Business Address
MARISSA ANN WIDENER MC, LAC
101 N 1ST AVE STE 2310
PHOENIX, AZ 85003-1902
Phone number: 888-661-2742
Mailing Address
MARISSA ANN WIDENER MC, LAC
300 W ADAMS ST STE 514
CHICAGO, IL 60606-5108
Phone number: 312-578-9990
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