Individual
BRIAN CHARLIE MARVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 MAIN ST, SUITE 818, WORCESTER, MA 01608-1604
(508) 425-9561
Mailing address
340 MAIN ST, SUITE 818, WORCESTER, MA 01608-1604
(508) 425-9561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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