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General NPI Number Information
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NPI Number | 1346046067
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Entity Type | Organization
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Legal Business Name | MARCELINO THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 3010 BORDENTOWN AVE STE B5
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City | PARLIN
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State | NJ
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Zip | 08859-1181
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Country | US
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Telephone | 732-401-5040
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 BORDENTOWN AVE STE B5
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City | PARLIN
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State | NJ
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Zip | 08859-1181
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Country | US
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Telephone | 732-401-5040
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA ANNE MARCELINO
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Credential | PHD, LMFT
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Telephone | 732-401-5040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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