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Individual

BRENDA S MARIN RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 298-7371
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
Primary
SW10756
FL

Other

Enumeration date
07/14/2009
Last updated
05/14/2013
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