Provider Information for 1669952099
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STEENA MARCIA FACEY LCSW
Other Names:Former Name:STEENA GUERIN LCSWSex: Female
NPI: 1669952099
Last Updated: 2023-07-26
Certification Date: 2023-07-26
Certification Date: 2023-07-26
Details
Name | Value | ||||||||
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NPI | 1669952099 | ||||||||
Enumeration Date | 2018-08-15 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 2235 NE COACHMAN ROAD CLEARWATER, FL 33765 United States Phone: 727-474-8836 | Fax:727-322-2110 | ||||||||
Primary Practice Address | 1051 PERSIMMON DR PALM HARBOR, FL 34683-5524 United States Phone: 512-577-1263 | Fax: | ||||||||
Secondary Practice Address(es) | 2960 ROOSEVELT BLVD | ||||||||
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