Individual
IME MARCELLA EKONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6511 NOVA DR # 176, DAVIE, FL 33317-7401
(954) 465-4177
Mailing address
6511 NOVA DR # 176, DAVIE, FL 33317-7401
(954) 465-4177
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
12/11/2020
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