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Organization

PASQUA MARONGIU PSY D PA

Active
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Organization

PASQUA MARONGIU PSY D PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PASQUA MARIA MARONGIU PSY D (CLINICAL PSYCHOLOGIST)
(321) 431-3222
Entity
Organization

Contact information

Practice address
1970 MICHIGAN AVE, BUILDING C-1, COCOA, FL 32922-5758
(321) 639-0063
(321) 639-0064
Mailing address
1970 MICHIGAN AVE, BUILDING C-1, COCOA, FL 32922-5758
(321) 639-0063
(321) 639-0064

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY7776
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PY7776
FL

Other

Enumeration date
04/22/2009
Last updated
05/19/2010
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