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Individual

SHAA MARCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(312) 965-8811
Mailing address
21 BLUE SPRUCE LN, DANVILLE, WV 25053-8003
(312) 965-8811

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
Primary
DP00944015
WV

Other

Enumeration date
11/03/2023
Last updated
03/19/2026
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