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General NPI Number Information
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NPI Number | 1154750404
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Entity Type | Individual
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Provider Name | MARY ELIZABETH MARSH LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1917 W PARK DR # A
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-3585
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Country | US
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Telephone | 336-903-6814
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Fax | 336-667-4457
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Provider Business Mailing Address
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Address Line | PO BOX 680427
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City | CHARLOTTE
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State | NC
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Zip | 28216-0008
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Country | US
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Telephone | 336-903-6814
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Fax | 336-667-4457
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P008468
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C010650
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License Number State | NC
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