Individual
MARCIA Y COLLINS-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 N GRANDVIEW ST, MOUNT DORA, FL 32757-3814
(352) 455-9975
Mailing address
1412 N GRANDVIEW ST, MOUNT DORA, FL 32757-3814
(352) 455-9975
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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