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General NPI Number Information
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NPI Number | 1861350704
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Entity Type | Individual
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Provider Name | LAURA SUZZETTE MARSHALL LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 84 NE INTERSTATE 410 LOOP, STE 2142
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City | SAN ANTONIO
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State | TX
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Zip | 78216
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Country | US
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Telephone | 713-686-9194
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 BABCOCK RD APT 1509
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4830
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Country | US
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Telephone | 512-663-9524
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Fax |
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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 | 106021
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License Number State | TX
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