Individual
MRS. MARY S MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 CHERRY WAY, SAINT JOHNS, FL 32259-7003
(904) 683-6494
Mailing address
318 CHERRY WAY, SAINT JOHNS, FL 32259-7003
(904) 683-6494
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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