Individual
MONICA MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 E SWANNANOA AVE, LIBERTY, NC 27298-3002
(336) 622-0252
(336) 622-0252
Mailing address
615 E SWANNANOA AVE, LIBERTY, NC 27298-3002
(336) 633-0252
(336) 622-0252
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-076-125
NC
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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