Individual
MRS. WANDA BINGHAM MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
325 SOUTH 8TH STREET, WEST KENTUCKY COUNSELING CENTER, MAYFIELD, KY 42066
(270) 356-2596
Mailing address
2395 GOLDENEYE CT., CLARKSVILLE, TN 37042
(931) 980-1106
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000204075
TN
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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