| Doctor Name: | DONNA ROSE MARKS |
| NPI Number: | 1194080523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW11190 |
| Business Practice Address: | 825 4th St W Ste 1-b Palmetto, FL - 342215013 |
| Business Phone Number: | 9417296600 |
| Business Fax Number: | 9417296600 |
| Mailing Address: | 825 4th St W, Ste 1-b PALMETTO |
| State: | FL |
| Postal Code: | 342215013 |
| Phone Number: | 9417296600 |
| Fax Number: | 9417296600 |
| NPI Enumeration Date: | 07/11/2012 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW11190 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |