Individual
CARLA A. MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
823 MAIN ST, HOPE VALLEY, RI 02832-1920
(401) 539-0228
(401) 842-0360
Mailing address
PO BOX 452, WYOMING, RI 02898-0452
(401) 539-0276
(401) 842-0360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW00724
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM58571
—
RI
Enumeration date
04/05/2006
Last updated
08/06/2008
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