Individual
MARILYN CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10570 S FEDERAL HWY STE 200, PORT ST LUCIE, FL 34952-5606
(772) 201-3450
Mailing address
10750 S. FEDERAL HIGHWAY, SUITE 200, PORT SAINT LUCIE, FL 34952-2845
(772) 380-9972
(772) 380-9976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
12/26/2019
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