Individual
MARLENE CABRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 AUGUSTA ST, GREENVILLE, SC 29601-3504
(864) 455-2600
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1743
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
09/13/2016
Last updated
09/14/2022
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