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Individual

MARLEE MARIE CAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ITDS

Contact information

Practice address
2811 SW ARCHER RD APT H63, GAINESVILLE, FL 32608-1827
(352) 792-5678
Mailing address
2811 SW ARCHER RD APT H63, GAINESVILLE, FL 32608-1827
(352) 792-5678

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013597913
FL
Enumeration date
04/13/2021
Last updated
06/18/2024
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