Individual
PATRICK MARCUS DECARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5900 JOHNSON ST, HOLLYWOOD, FL 33021-5638
(954) 997-7248
Mailing address
5900 JOHNSON ST, HOLLYWOOD, FL 33021-5638
(954) 547-8982
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3587
FL
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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