Individual
MRS. MARIAN D. FUNDERBURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
659 FALCON DR, WACO, TX 76712-3526
(254) 776-2770
Mailing address
659 FALCON DR, WACO, TX 76712-3526
(254) 776-2770
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05678
TX
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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