Individual
MRS. ALETHEA SAMONE MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PSYCH, ACAS,ITFS
Contact information
Practice address
2556 MINT JULEP DR, CREEDMOOR, NC 27522
(919) 609-8160
Mailing address
2556 MINT JULEP DR, CREEDMOOR, NC 27522-7817
(919) 609-8160
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/23/2018
Last updated
05/19/2020
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