Individual
DONNA MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7481 W OAKLAND PARK BLVD STE 100, TAMARAC, FL 33319-4985
(954) 771-7743
(954) 771-7748
Mailing address
101 ROYAL PARK DR APT 1B, OAKLAND PARK, FL 33309-5866
(917) 670-2696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW11152
FL
1041C0700X
Clinical Social Worker
R050690-1
NY
1041C0700X
Clinical Social Worker
Primary
SW11152
FL
Other
Enumeration date
04/30/2018
Last updated
08/05/2022
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