Individual
MS. DEIDRE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5215 N IRONWOOD RD, SUITE 202 PMB 1013, GLENDALE, WI 53217
(414) 367-8194
Mailing address
5215 N IRONWOOD RD, SUITE 202 PMB 1013, GLENDALE, WI 53217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9742-123
WI
Other
Enumeration date
11/02/2019
Last updated
04/28/2024
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