CARISSA MARTIN

FULTON, MO
NPI1912373556
Former NameCARISSA MARTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MO  2020004458)
Enumeration Date2015-08-18
Last Update Date2020-12-16
Business Address
CARISSA MARTIN PSY D
600 E 5TH ST
FULTON, MO 65251-1753
Phone number: 573-592-3355
Mailing Address
CARISSA MARTIN PSY D
2309 W BROADWAY APT 113
COLUMBIA, MO 65203-1274
Phone number: 502-472-4499
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