Individual
MARCUS MARCELLUS WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3942 BLUESTEM DR, GREENSBORO, NC 27405-8251
(240) 606-1415
Mailing address
3942 BLUESTEM DR, GREENSBORO, NC 27405-8251
(240) 606-1415
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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