Individual
CAROLYN JULE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3400 COIT RD., #260594, PLANO, TX 75075
(214) 205-4539
Mailing address
PO BOX 260594, PLANO, TX 75026-0594
(214) 205-4539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
TX
Enumeration date
08/09/2019
Last updated
07/22/2022
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