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Individual

MRS. AMY T MARSHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, LCSW

Contact information

Practice address
831 GAME TRL APT 101, LAKEMOOR, IL 60051-6418
(773) 603-5566
Mailing address
831 GAME TRL APT 101, LAKEMOOR, IL 60051-6418
(773) 603-5566

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013134
IL
1041C0700X
Clinical Social Worker
6801089300
MI
1041C0700X
Clinical Social Worker
7416-123
WI

Other

Enumeration date
09/26/2008
Last updated
02/27/2009
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