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NPI Code Detail

MEDICARE: MS. LAUREL R MARSHALL MA

MEDICARE: MS. LAUREL R MARSHALL MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLF60451047WA

General Provider Information

NPI Number : 1306157607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREL R MARSHALL MA
Provider Business Mailing Address
First Line : 5518 34TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98105-2305
Country : US
Telephone Number : 206-454-9362
Fax Number :
Provider Business Practice Location Address
First Line : 901 BOREN AVE STE 1300
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3509
Country : US
Telephone Number : 206-454-9362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 04/23/2014

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Directions to “ MS. LAUREL R MARSHALL MA” Practice Location

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