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Individual

ROBERT J MARSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3905 W ERNESTINE DR, MARION, IL 62959-5800
(618) 993-5859
(618) 997-1588
Mailing address
3905 W ERNESTINE DR, MARION, IL 62959-5800
(618) 993-5859
(618) 997-1588

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S18604
UPIN
IL
Enumeration date
07/10/2007
Last updated
07/10/2007
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