Individual
SUSAN MARIE MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 PARK STREET, MALONE, NY 12953
(518) 483-8980
Mailing address
31 EDWARD ST, MALONE, NY 12953-1611
(518) 483-3738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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