JACK ANTHONY MARINO

GULFPORT, MS
NPI1992727242
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
Mr. JACK ANTHONY MARINO ms,cmht
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
Mailing Address
Mr. JACK ANTHONY MARINO ms,cmht
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132