Individual
MR. KRIS EARL MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
103 2ND AVE NE, CLARION, IA 50525-1430
(515) 532-3338
(515) 532-3339
Mailing address
PO BOX 474, HUMBOLDT, IA 50548-0474
(515) 532-3338
(515) 532-3339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05897
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486761
—
IA
01
—
112848
HEALTH ALLIANCE
IA
01
—
11472253
CAQH
IA
01
—
230092
MIDLANDS CHOICE
IA
01
—
254111
COMPSYCH
IA
01
—
38640
BLUE CROSS BLUE SHIELD
IA
01
—
9385519
PRIVATE HEALTH CARE
IA
Enumeration date
09/12/2005
Last updated
06/25/2015
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