Individual
MS. MARLENE DUPUIS GOULART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13220 N 56TH ST, TEMPLE TERRACE, FL 33617-1107
(813) 891-9474
(813) 891-9058
Mailing address
245 15TH AVE NE, ST PETERSBURG, FL 33704-4701
(727) 773-7547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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