Individual
BRIANNA SHACOLE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4235 W CAPITOLA AVE, FRESNO, CA 93722-6010
(559) 274-3801
Mailing address
PO BOX 6237, GOODYEAR, AZ 85338-0621
(559) 274-3801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
CA
1041C0700X
Clinical Social Worker
9099-C
NV
1041C0700X
Clinical Social Worker
Primary
98579
CA
Other
Enumeration date
05/28/2019
Last updated
11/29/2021
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