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Individual
MARKITA DISMUKE
Active
Individual
MARKITA DISMUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
03/30/2013
Last updated
08/19/2025
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