Individual
MRS. KIMBERLY DIANN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSHS, MSP
Contact information
Practice address
14733 S TELEGRAPH RD, MONROE, MI 48161-9545
(734) 243-8707
Mailing address
27420 PRESTON POINTE DR, UNIT 33, BROWNSTOWN, MI 48183-3894
(734) 775-7195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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