Marigarace Licitra
NPI #1164315768 in Denver, North Carolina
Provider Information
- NPI Number
- 1164315768
- Entity Type
- Individual
- Name
- Marigarace Licitra
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 2, 2025
- Last Updated
- Jun 2, 2025
Practice Location
- Address
- 5078 SILVER CREEK LN
- City
- Denver
- State
- North Carolina
- ZIP Code
- 28037-7948
- Phone
- (704) 918-7378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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