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Individual

MARITA S. MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
500 W 10TH ST, WILMINGTON, DE 19801-1422
(302) 230-9192
(302) 691-1100
Mailing address
500 W 10TH ST, WILMINGTON, DE 19801-1422
(302) 230-9192
(302) 691-1100

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1334
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689733792
DE
Enumeration date
10/24/2012
Last updated
10/24/2012
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