Individual
AVELYN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3493 WOODS EDGE DR, SUITE 103, OKEMOS, MI 48864-6030
(517) 886-3707
(517) 349-1973
Mailing address
3493 WOODS EDGE DR, SUITE 103, OKEMOS, MI 48864-6030
(517) 886-3707
(517) 349-1973
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801016708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001650
MCLAREN
MI
01
—
138194
BLUE CARE NETWORK
MI
01
—
214678195
PHP-UBH
MI
01
—
8008973350
MESSA - BLUE CROSS
MI
Enumeration date
03/22/2007
Last updated
06/29/2012
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