Individual
MR. CLINTON VERNON MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,LSW
Contact information
Practice address
125 AIRPORT PKWY, SUITE 140, GREENWOOD, IN 46143-1441
(317) 883-1280
(317) 883-1281
Mailing address
11213 BAYRIDGE CIR E, INDIANAPOLIS, IN 46236-8731
(317) 826-0606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33004666A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
CLINICAL SOCIAL WORKER
IN
Enumeration date
05/10/2007
Last updated
07/08/2007
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