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Individual
MR. MARK ANTHONY SERRANO
Active
Individual
MR. MARK ANTHONY SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADTP SUDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/03/2019
Last updated
06/26/2019
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