Provider Information for 1891800579
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ELIZABETH A MARSH LMHC
Sex: Female
NPI: 1891800579
Last Updated: 2016-12-28
Certification Date:
Certification Date:
Details
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NPI | 1891800579 | ||||||||||||
Enumeration Date | 2006-08-20 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | PO BOX 1559 BARTOW, FL 33831-1559 United States Phone: 863-519-0575 | Fax: | ||||||||||||
Primary Practice Address | 1239 E MAIN ST BARTOW, FL 33830-5058 United States Phone: 863-519-0575 | Fax: | ||||||||||||
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