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1265048417
MARISSA L BENNERS
DENTON, TX
NPI
1265048417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist Clinical Child & Adolescent
(Licence: TX 38197)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
MARISSA L BENNERS PHD
3304 COLORADO BLVD STE 102
DENTON, TX 76210-6872
Phone number: 940-484-4311
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Mailing Address
MARISSA L BENNERS PHD
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-1860
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