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NPI Code Detail

MEDICARE: MS. ALESHA MARSHALL

MEDICARE: MS. ALESHA MARSHALL
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
11041C0700XClinical Social Worker65193CA

General Provider Information

NPI Number : 1447585716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALESHA MARSHALL
Provider Business Mailing Address
First Line : 1900 SYCAMORE CANYON RD
Second Line :
City : SAN DIMAS
State : CA
Zip : 91773-1220
Country : US
Telephone Number : 909-599-2391
Fax Number :
Provider Business Practice Location Address
First Line : 1950 S SUNWEST LN STE 200
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92408-3248
Country : US
Telephone Number : 909-252-4044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2009
Last Update Date : 05/09/2024

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Directions to “ MS. ALESHA MARSHALL ” Practice Location

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