Female

Marion Licato MSW

Mental Health Counselor in Longwood, FL(View on Map)

Full Name

Marion Licato MSW

NPI Number

1437409380

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/18/2012

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

740 FLORIDA CENTRAL PKWY STE 1028
740 FLORIDA CENTRAL PKWY STE 1028

City

Longwood
Longwood

State

FL
FL

Postal Code

32750-7652
32750-7652

Country

US
US

Telephone Number

N/A
(407) 774-2284

Identifiers

Identifier

10

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/18/2012

Provider Address

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