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Marion Licato, MSW
Mental Health Counselor in Longwood, Florida
NPI 1437409380

Marion Licato is a Mental Health Counselor based in Longwood, FL and is specialized in Mental Health. Marion Licato practices in Longwood, FL and has the professional credentials of MSW. The NPI Number for Marion Licato is 1437409380 and holds a License No. (Florida).

The current practice location address for Marion Licato is 740 Florida Central Pkwy Ste 1028, Longwood, FL and can be reached out via phone at 407-774-2284.

Location: 740 Florida Central Pkwy Ste 1028, Longwood, FL, 32750-7652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437409380
Provider Name
Marion Licato
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
740 Florida Central Pkwy Ste 1028, Longwood, FL, 32750-7652
Phone Number
407-774-2284
Fax Number
Provider Enumeration Date
09/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10 05 FL
institution
Provider Business Practice Location Address Details
Address
740 Florida Central Pkwy Ste 1028
City
Longwood
State
Florida
Zip
32750-7652
Phone Number
407-774-2284
Fax Number
person
Provider Business Mailing Address Details
Address
740 Florida Central Pkwy Ste 1028
City
Longwood
State
Florida
Zip
32750-7652
Phone Number
407-774-2284
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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