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Individual

LIBBY RENAE MARCOLONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
81 ST HWY 83 N STE A, DEFUNIAK SPRINGS, FL 32433-7487
(719) 286-3338
Mailing address
81 ST HWY 83 N STE A, DEFUNIAK SPRINGS, FL 32433-7487
(719) 286-3338

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT.0001866
CO
106H00000X
Marriage & Family Therapist
Primary
MT4412
FL

Other

Enumeration date
07/21/2019
Last updated
01/18/2024
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