Organization
MARC S. DILLWORTH, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC SCOTT DILLWORTH PH.D. (OWNER)
(941) 794-1009
Entity
Organization
Contact information
Practice address
501 VILLAGE GREEN PKWY, BRADENTON, FL 34209-3404
(941) 794-1009
(941) 761-5500
Mailing address
PO BOX 14566, BRADENTON, FL 34280-4566
(941) 794-1009
(941) 761-5500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 0113
FL
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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