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Individual
EVEN MARK MARCOS-GONZALEZ
Active
Individual
EVEN MARK MARCOS-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CASAC-T
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118664-01
NY
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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