Provider Demographics
NPI:1225671647
Name:CABRERA-ARROYO, MARIANNE (BSW)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:CABRERA-ARROYO
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 FORREST ST
Mailing Address - Street 2:
Mailing Address - City:PASCAGOULA
Mailing Address - State:MS
Mailing Address - Zip Code:39581-3011
Mailing Address - Country:US
Mailing Address - Phone:787-981-7168
Mailing Address - Fax:
Practice Address - Street 1:3452 PASCAGOULA ST STE 3
Practice Address - Street 2:
Practice Address - City:PASCAGOULA
Practice Address - State:MS
Practice Address - Zip Code:39567-3203
Practice Address - Country:US
Practice Address - Phone:228-712-8024
Practice Address - Fax:228-712-8027
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker