Individual
MARTHA MARCHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
640 PLEASANT POINT RD, CUSHING, ME 04563-3425
(207) 354-0714
Mailing address
640 PLEASANT POINT RD, CUSHING, ME 04563-3425
(207) 354-0714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7394
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280300099
—
ME
Enumeration date
10/12/2006
Last updated
02/28/2013
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