Individual
MARCIA L. CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 CHESTER BLVD, RICHMOND, IN 47374-1221
(765) 939-2395
(765) 939-2425
Mailing address
2201 NW WASHINGTON BLVD, STE A, HAMILTON, OH 45013
(513) 869-7000
(513) 785-4272
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I0008612
OH
1041C0700X
Clinical Social Worker
Primary
34007899A
IN
Other
Enumeration date
08/26/2006
Last updated
02/13/2019
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