Individual
MR. PETER W. MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
111089
MA
1041C0700X
Clinical Social Worker
Primary
ISWO1533
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619096898
NPI
RI
01
—
ISW01533
PROFESSIONAL LICENSE
RI
Enumeration date
03/28/2007
Last updated
10/13/2010
Update your record
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