Individual
DR. MARCKDALINE ST. FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PHD
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 649-2807
Mailing address
2054 VISTA PKWY STE 400, WEST PALM BEACH, FL 33411-6742
(561) 579-1099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811955400
—
FL
05
—
914570200
—
FL
Enumeration date
09/09/2009
Last updated
03/04/2026
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