Individual
MR. EDMOND LAMAR MARSHALL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2310 S MIAMI BLVD, STE 135, DURHAM, NC 27703-5798
(919) 280-0179
Mailing address
717 STRATHWOOD WAY, ROLESVILLE, NC 27571-9012
(919) 280-0179
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
717C23
NC
1041C0700X
Clinical Social Worker
717C23
NC
251S00000X
Community/Behavioral Health Agency
717C23
NC
Other
Enumeration date
10/04/2009
Last updated
01/18/2024
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