Immoos, Marilyn Sue

Immoos, Marilyn Sue is an sole proprietor health care provider with primary practice located at 323 Edgebrook Dr , Ione CA 95640-5204. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Immoos, Marilyn Sue can be contacted via phone (209) 274-2362.

Contact Information

Primary practice address
323 Edgebrook Dr Ione CA 95640-5204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY20281 California

Profile Details

NPI number 1417111709
LBN Legal business name Immoos, Marilyn Sue
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2008
Last updated Jul 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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