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Organization
MARRIAGE AND FAMILY CENTER
Active
Organization
MARRIAGE AND FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBETH LICHTY (OWNER)
(239) 939-2939
Entity
Organization
Contact information
Practice address
5237 SUMMERLIN COMMONS BLVD STE 235, FORT MYERS, FL 33907-2158
(239) 939-2939
(239) 432-0161
Mailing address
5237 SUMMERLIN COMMONS BLVD STE 235, FORT MYERS, FL 33907-2158
(239) 939-2939
(239) 432-0161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z7810
BLUE CROSS/ BLUE SHIELD
FL
Enumeration date
01/19/2006
Last updated
03/17/2018
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