Provider Information for 1497419782
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Mr. MARQUEL TYRELL JONES LCSW
Sex: Male
NPI: 1497419782
Last Updated: 2024-03-02
Certification Date: 2024-03-02
Certification Date: 2024-03-02
Details
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NPI | 1497419782 | ||||||||
Enumeration Date | 2021-10-24 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 5591 SW 11TH ST APT C MARGATE, FL 33068-2982 United States Phone: 786-387-1504 | Fax: | ||||||||
Primary Practice Address | 5591 SW 11TH ST APT C MARGATE, FL 33068-2982 United States Phone: 786-387-1504 | Fax: | ||||||||
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