Individual
MS. MARILYN F MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW LCSW LMFT
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33002012A
IN
1041C0700X
Clinical Social Worker
Primary
34001704A
IN
106H00000X
Marriage & Family Therapist
35000907A
IN
Other
Enumeration date
12/13/2006
Last updated
08/22/2007
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