MARIETTA BACCUS RICHARD

SOUTHLAKE, TX
NPI1699950782
Former NameMARIETTA BACCUS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: TX  24396)
Enumeration Date2008-01-08
Last Update Date2019-06-28
Business Address
Dr. MARIETTA BACCUS RICHARD Ph.D
1725 E SOUTHLAKE BLVD STE 102
SOUTHLAKE, TX 76092-6457
Phone number: 682-477-4400
Mailing Address
Dr. MARIETTA BACCUS RICHARD Ph.D
1725 E SOUTHLAKE BLVD STE 102
SOUTHLAKE, TX 76092-6457
Phone number: 682-477-4400
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