Provider Information for 1982483657
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MARIE DEMERVILLE LMHC
Sex: Female
NPI: 1982483657
Last Updated: 2023-09-22
Certification Date: 2023-09-22
Certification Date: 2023-09-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1982483657 | ||||||||
| Enumeration Date | 2023-09-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1275 W 47TH PL STE 304 HIALEAH, FL 33012-3447 United States Phone: 305-827-3252 | Fax:305-827-3298 | ||||||||
| Primary Practice Address | 1275 W 47TH PL STE 304 HIALEAH, FL 33012-3447 United States Phone: 305-827-3252 | Fax:305-827-3298 | ||||||||
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