Individual
LINA MARIA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5002 SW 35TH TER, FORT LAUDERDALE, FL 33312-8261
(954) 639-6464
Mailing address
5002 SW 35TH TER, FORT LAUDERDALE, FL 33312-8261
(954) 639-6464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH 9766
FL
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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