Individual
DONNA ROSE MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9050 58TH DR E, BRADENTON, FL 34202
(941) 907-0525
Mailing address
332 PETREL TRL, BRADENTON, FL 34212-2992
(941) 920-1610
(941) 920-1610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11190
FL
Other
Enumeration date
07/11/2012
Last updated
08/23/2018
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