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General NPI Number Information
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NPI Number | 1881417574
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Entity Type | Individual
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Provider Name | MARIE SOLANGE JEAN CHARLES MARCELIN LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 121 W LOOCKERMAN ST
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City | DOVER
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State | DE
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Zip | 19904-7325
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Country | US
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Telephone | 302-674-1397
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 S HANCOCK AVE
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City | DOVER
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State | DE
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Zip | 19901-4096
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Country | US
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Telephone | 302-270-7195
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | Q3-0000119
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License Number State | DE
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