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Individual

MS. MARINA DEMENECH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
406 N PINCKNEY ST, MADISON, WI 53703-1410
(646) 388-1498
Mailing address
844 E GORHAM ST, APT 1, MADISON, WI 53703-1790
(646) 388-1498

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
071639
NY
1041C0700X
Clinical Social Worker
Primary
8030-123
WI

Other

Enumeration date
09/14/2006
Last updated
09/17/2013
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