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1558958975
MARCUS MICHAEL MARULLO
BREAUX BRIDGE, LA
NPI
1558958975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1014)
Enumeration Date
2020-12-31
Last Update Date
2020-12-31
Business Address
Mr. MARCUS MICHAEL MARULLO MS, LAC, CCS, AADC
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517-4231
Phone number: 337-332-4878
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Mailing Address
Mr. MARCUS MICHAEL MARULLO MS, LAC, CCS, AADC
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517-4231
Phone number: 337-332-4878
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