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Individual
DR. MARLENE L EAST
Active
Individual
DR. MARLENE L EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH5744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611015200
WORKMAN'S COMP PROV NO.
FL
Enumeration date
03/02/2006
Last updated
01/20/2016
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