Individual
MARIE ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1285 NE 157TH ST, NORTH MIAMI BEACH, FL 33162-5541
(305) 332-5425
Mailing address
1285 NE 157TH ST, NORTH MIAMI BEACH, FL 33162-5541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011035000
—
FL
Enumeration date
11/06/2016
Last updated
11/06/2016
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