Individual
MRS. JENNIFER MAE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, CCM
Contact information
Practice address
96 SAWMILL RD, WEST SPRINGFIELD, MA 01089-1669
(413) 478-9915
Mailing address
96 SAWMILL RD, WEST SPRINGFIELD, MA 01089-1669
(413) 478-9915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118382
MA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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