Individual
ELIZABETH ANDREA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
11559 SOMERSET AVE, PRINCESS ANNE, MD 21853-1067
(410) 651-4200
(410) 651-4290
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609500300
—
MD
05
—
609500303
—
MD
Enumeration date
08/15/2013
Last updated
08/15/2013
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