Individual
MISS MARIANNE ELIZABETH MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 WESTWOOD TER N, ST PETERSBURG, FL 33710-8325
(727) 343-3662
Mailing address
2505 BLACK HORSE LOOP # 16-301, LUTZ, FL 33559-7730
(863) 447-1449
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/13/2020
Last updated
12/13/2024
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