Individual
DANIELLE LAURIE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
491 MAIN ST, ATHOL, MA 01331-1846
(978) 249-9926
Mailing address
307 W HILL RD, TROY, NH 03465-2620
(603) 593-2022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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