Provider Demographics
NPI:1477212512
Name:AZOR, MARLOCHE
Entity Type:Individual
Prefix:
First Name:MARLOCHE
Middle Name:
Last Name:AZOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SW 101ST TER UNIT 106
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1094
Mailing Address - Country:US
Mailing Address - Phone:305-992-0445
Mailing Address - Fax:
Practice Address - Street 1:400 SW 101ST TER UNIT 106
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-1094
Practice Address - Country:US
Practice Address - Phone:305-992-0446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker