Individual
ANNA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCCHHP
Contact information
Practice address
4068 CLINTONVIEW CT, BELLEVILLE, IL 62226-7819
(618) 381-8387
Mailing address
4068 CLINTONVIEW CT, BELLEVILLE, IL 62226-7819
(618) 381-8387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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