Individual
ANDREA MARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1806 MAIN ST, VALRICO, FL 33594-6726
(813) 453-9249
(813) 661-1101
Mailing address
1806 MAIN ST, VALRICO, FL 33594-6726
(813) 453-9249
(813) 661-1101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
06/25/2008
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