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NPI Code Detail

MEDICARE: MS. MARSHA K CICCONE MSW

MEDICARE:  MS. MARSHA K CICCONE  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW7033FL

General Provider Information

NPI Number : 1164449021
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARSHA K CICCONE MSW
Provider Business Mailing Address
First Line : 1905 N OCEAN BLVD
Second Line : APT. 14D
City : FORT LAUDERDALE
State : FL
Zip : 33305-3747
Country : US
Telephone Number : 954-383-3619
Fax Number : 954-563-9530
Provider Business Practice Location Address
First Line : 1915 NE 45TH ST
Second Line : SUITE 210
City : FORT LAUDERDALE
State : FL
Zip : 33308-5199
Country : US
Telephone Number : 954-383-3619
Fax Number : 954-563-9530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MARSHA K CICCONE MSW” Practice Location

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