Healthcare Provider Details

I. General information

NPI: 1154621993
Provider Name (Legal Business Name): ANN-MARIE JEANNE MARSH M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 BIELBY RD
LAWRENCEBURG IN
47025-1055
US

IV. Provider business mailing address

281 BIELBY RD
LAWRENCEBURG IN
47025-1055
US

V. Phone/Fax

Practice location:
  • Phone: 812-537-7378
  • Fax: 812-537-5532
Mailing address:
  • Phone: 812-537-7378
  • Fax: 812-537-5532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: