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Individual
MRS. JENNIFER KRISTINE MARSHALL
Active
Individual
MRS. JENNIFER KRISTINE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102381
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1180
NC
1041C0700X
Clinical Social Worker
Primary
0904007310
VA
1041C0700X
Clinical Social Worker
P003927
NC
Other
Enumeration date
10/23/2007
Last updated
07/03/2013
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