Individual
MRS. MARY L MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
1101 6TH AVE, HUNTINGTON, WV 25701-2345
(304) 529-4217
Mailing address
12 SUMMIT ST, HUNTINGTON, WV 25705-1216
(304) 523-6031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00942126 & 0006048
WV
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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