Individual
DR. BOZENA TERESA MARCINCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.,LMFT
Contact information
Practice address
5727 ILLUMINATION LN, LEESBURG, FL 34748-8398
(352) 314-2296
(352) 314-2296
Mailing address
5727 ILLUMINATION LN, LEESBURG, FL 34748-8398
(352) 314-2296
(352) 314-2296
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001238
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308375100000
PREMERA BLUE CROSS
WA
05
—
535149
—
WA
01
—
MA7873
REGENCE BLUESHIELD
WA
Enumeration date
12/09/2006
Last updated
08/13/2007
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