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203 W Main St Ste G1 Lexington SC 29072-2672 | |
| (803) 731-6699 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 203 W Main St Ste G1, Lexington, South Carolina |
| Authorized Official Name and Position | Marissa Guarino (CEO/ PSYCHOLOGIST) |
| Authorized Official Contact | 8037316699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
203 W Main St Ste G1 Lexington SC 29072-2672 Ph: (803) 731-6699 | 203 W Main St Ste G1 Lexington SC 29072-2672 Ph: (803) 731-6699 |
| NPI Number | 1578209649 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578209649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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