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Individual

ANTHONY MARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
23210 CHAGRIN BLVD STE 400, BEACHWOOD, OH 44122-5429
(216) 831-6466
Mailing address
107 LAUREL RD, CHAGRIN FALLS, OH 44022-3937
(440) 804-6627

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0600139
OH

Other

Enumeration date
10/13/2008
Last updated
10/13/2008
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