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Individual

TAWANNA A MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
1925 UPSHUR ST. NE., WASHINGTON D.C., DC 20018
(301) 423-0444
Mailing address
P.O. BOX 1589, TEMPLE HILLS, MD 20757
(301) 423-0444

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01853
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
810419100
MD
Enumeration date
08/02/2017
Last updated
08/02/2017
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