Individual
MRS. JENNY ELIZABETH MARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1622 W AGAVE LN, GREEN VALLEY, AZ 85622-3278
(217) 741-7665
Mailing address
1622 W AGAVE LN, GREEN VALLEY, AZ 85622-3278
(217) 741-7665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018905
IL
171W00000X
Contractor
—
—
Other
Enumeration date
02/21/2011
Last updated
03/31/2025
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