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Individual
MARCUS JAMAR GADDY
Active
Individual
MARCUS JAMAR GADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCSWA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P023900
NC
1041C0700X
Clinical Social Worker
P1047001
NC
1041C0700X
Clinical Social Worker
Primary
PO147001
NC
Other
Enumeration date
09/24/2020
Last updated
06/30/2026
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