Individual
GINA MARQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 HEDRICK DR, NEWPORT, TN 37821-2902
(423) 626-5301
(423) 625-0808
Mailing address
1923 SULPHUR SPRINGS RD STE 1, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34007417A
IN
1041C0700X
Clinical Social Worker
Primary
7874
TN
1041C0700X
Clinical Social Worker
—
TN
Other
Enumeration date
12/08/2015
Last updated
11/04/2021
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