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)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