Individual
JONATHAN MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
800 ZORN AVE, SOCIAL WORK SERVICE, REX VAMC, LOUISVILLE, KY 40206-1433
(502) 287-6196
Mailing address
800 ZORN AVE, SOCIAL WORK SERVICE, REX VAMC, LOUISVILLE, KY 40206-1433
(502) 287-6196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3796
KY
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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