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Individual

SONYA MARBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4710 EMERIBROOK CT, COLUMBIA, MO 65203-5130
(615) 668-0804
Mailing address
PO BOX 391, COLUMBIA, MO 65205-0391

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016037698
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0
MO
Enumeration date
09/02/2021
Last updated
12/01/2022
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