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Individual

MARQUIS ANTONIO DALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QMHS

Contact information

Practice address
1336 E MAIN ST, COLUMBUS, OH 43205-2081
(614) 534-0951
Mailing address
1336 E MAIN ST, COLUMBUS, OH 43205-2081
(614) 534-0951

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OH

Other

Enumeration date
06/13/2025
Last updated
06/13/2025
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