Individual
MRS. SUSAN JEAN MARVIN
Active
Individual
MRS. SUSAN JEAN MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05865
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482232
—
IA
01
—
113858
HEALTH ALLIANCE
IA
01
—
11472254
CAQH
IA
01
—
1700416535
GEHA
IA
01
—
244803
MIDLANDS CHOICE
IA
01
—
257155
COMPSYCH
IA
01
—
39107
BLUE CROSS BLUE SHIELD
IA
01
—
5682627
FIRST HEALTH
IA
01
—
9385520
PRIVATE HEALTH CARE
IA
Enumeration date
09/12/2005
Last updated
01/18/2013
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