Individual
CYNTHIA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6880
Mailing address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14603
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
08/03/2016
Last updated
10/03/2023
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