Deluera, Marilyn B

Deluera, Marilyn B is an individual health care provider with primary practice located at 4770 S Ridgewood Ave , Port Orange FL 32127-4544. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Deluera, Marilyn B can be contacted via phone (386) 425-3900.

Contact Information

Primary practice address
4770 S Ridgewood Ave Port Orange FL 32127-4544
Phone: (386) 425-3900
Fax: (386) 274-4140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCSW 9846
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1386984680
LBN Legal business name Deluera, Marilyn B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2013
Last updated Mar 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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