Individual
KELLY A MARQUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
172 LINDEN DR STE 111, WINCHESTER, VA 22601-2892
(540) 536-4881
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
(540) 536-5100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008223
VA
Other
Enumeration date
09/04/2020
Last updated
03/10/2021
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