MARLY AYALA-ICAZA

BRADENTON, FL
NPI1821412230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH2387)
Enumeration Date2014-02-06
Last Update Date2018-02-05
Business Address
MARLY AYALA-ICAZA MH14786
3500 EL CONQUISTADOR PKWY APT 259 APT 259
BRADENTON, FL 34210-3819
Phone number: 954-806-3698
Mailing Address
MARLY AYALA-ICAZA MH14786
3500 EL CONQUISTADOR PKWY APT 259 APT 259
BRADENTON, FL 34210-3819
Phone number: 954-806-3698
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