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Individual

MARCUS JAMES DERAMUS

Active
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Individual

MARCUS JAMES DERAMUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AL
133N00000X
Nutritionist
—
AL
171000000X
Military Health Care Provider
—
AL
171000000X
Military Health Care Provider
—
—
221700000X
Art Therapist
—
AL
225X00000X
Occupational Therapist
—
AL

Other

Enumeration date
01/09/2023
Last updated
01/09/2023
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