Provider Information for 1598808230
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MARTHA GRACE MARQUEZ LMHC, MCAP
Other Names:Professional Name:GRACE MARQUEZ LMHC, MCAPSex: Female
NPI: 1598808230
Last Updated: 2018-08-28
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Details
Name | Value | ||||||||||||||||
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NPI | 1598808230 | ||||||||||||||||
Enumeration Date | 2007-02-14 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 1881 NE 26TH ST STE 201A WILTON MANORS, FL 33305-1427 United States Phone: 954-368-5819 | Fax:954-530-1792 | ||||||||||||||||
Primary Practice Address | 1881 NE 26TH ST STE 201A WILTON MANORS, FL 33305 United States Phone: 965-368-5819 | Fax:954-530-1792 | ||||||||||||||||
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