Individual
MARISSA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 S STOCKWELL RD, EVANSVILLE, IN 47714-0247
(812) 476-5437
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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