Individual
MICHAEL MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 N 15TH ST, RICHMOND, IN 47374-4355
(765) 983-8600
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010705A
IN
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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