Individual
MS. MARILYN A WEATHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2329 EMERALD RIDGE LOOP, TALLAHASSEE, FL 32303-9300
(850) 509-2586
(850) 385-0910
Mailing address
PO BOX 3166, TALLAHASSEE, FL 32315-3166
(850) 509-2586
(850) 385-0910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674683768
—
FL
05
—
674683796
—
FL
05
—
674683798
—
FL
Enumeration date
05/09/2013
Last updated
05/09/2013
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