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Individual

LENNIS J. MARVEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1924 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(816) 224-6500
(816) 224-2777
Mailing address
PO BOX 1628, BLUE SPRINGS, MO 64013-1628
(816) 224-6500
(816) 224-2777

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002234
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20533
NEW DIRECTIONS BEHAVIORAL
MO
01
6251678
UNITED BEHAVIORAL HLTH
MO
01
MARVELEN
HUMANA
MO
Enumeration date
11/08/2005
Last updated
07/08/2007
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