Individual
MARNEL THELUSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18690 NW 2ND AVE, 100, MIAMI GARDENS, FL 33169-4508
(754) 423-9194
Mailing address
PO BOX 268175, WESTON, FL 33326-8175
(954) 226-2812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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