Provider Information for 1295552552
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MARIE JUDITH CHARPENTIER-THORPE MS, LMHC
Sex: Female
NPI: 1295552552
Last Updated: 2025-02-28
Certification Date: 2025-02-28
Certification Date: 2025-02-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1295552552 | ||||||||
| Enumeration Date | 2024-09-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5050 SALERNO ST AVE MARIA, FL 34142-9578 United States Phone: 954-444-4429 | Fax: | ||||||||
| Primary Practice Address | 5050 SALERNO ST AVE MARIA, FL 34142-9578 United States Phone: 954-444-4429 | Fax: | ||||||||
| Secondary Practice Address(es) | 475 BILTMORE WAY STE 109 | ||||||||
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