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1851529184
MARISA DIANE BLACK
DENVER, CO
NPI
1851529184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO 3788)
Enumeration Date
2009-06-25
Last Update Date
2013-01-30
Business Address
Dr. MARISA DIANE BLACK PsyD
9900 E ILIFF AVE
DENVER, CO 80231-3462
Phone number: 303-636-5937
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Mailing Address
Dr. MARISA DIANE BLACK PsyD
9900 E ILIFF AVE
DENVER, CO 80231-3462
Phone number: 206-551-1286
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