Individual
MARILYN SUE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
15 VANN AVE, EVANSVILLE, IN 47714-1444
(812) 402-8333
(812) 402-8331
Mailing address
PO BOX 33, EVANSVILLE, IN 47701-0033
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000920809
ANTHEM BCBS
IN
01
—
P01473497
RAILROAD MEDICARE
—
Enumeration date
08/11/2006
Last updated
02/03/2016
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