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Individual

NANCY F MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSW, LICSW

Contact information

Practice address
387 WATERMAN AVE, EAST PROVIDENCE, RI 02914-2618
(401) 524-2908
Mailing address
15 THURSTON ST, RIVERSIDE, RI 02915-1721
(401) 654-6300
(401) 654-6302

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1027601
MA
1041C0700X
Clinical Social Worker
Primary
ISW01147
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P08486
BLUE CROSS OF MASS
MA
Enumeration date
08/11/2006
Last updated
12/05/2016
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