Individual
MS. ANDREA LYNN MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17615 SW 97TH AVE, PALMETTO BAY, FL 33157-5636
(786) 268-2611
(786) 268-1748
Mailing address
2514 LINDA AVE, REAR APT, KEY WEST, FL 33040-5114
(305) 731-9218
(866) 903-4377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
222Q00000X
Developmental Therapist
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766660800
—
FL
05
—
811931700
—
FL
Enumeration date
10/05/2006
Last updated
11/04/2014
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