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Organization
MARNIE LARATRO PSYD PA
Active
Organization
MARNIE LARATRO PSYD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARNIE LARATRO PSY.D., P.A. (OWNER)
(954) 483-4238
Entity
Organization
Contact information
Practice address
543 PALM DR, HALLANDALE BEACH, FL 33009-6533
(954) 483-4238
Mailing address
543 PALM DRIVE, HALLANDALE, FL 33009
(954) 483-4238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PY7894
FL
Other
Enumeration date
03/09/2010
Last updated
09/07/2010
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