MEDICARE: MARQUISE MORGAN

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
1	104100000X	Social Worker	12389	LA

General Provider Information

NPI Number	:	1093196107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUISE MORGAN

Provider Business Mailing Address
First Line	:	2651 POYDRAS ST
Second Line	:	APT 2513
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7579
Country	:	US
Telephone Number	:	504-939-9337
Fax Number	:

Provider Business Practice Location Address
First Line	:	2651 POYDRAS ST
Second Line	:	APT 2513
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7579
Country	:	US
Telephone Number	:	504-939-9337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2015
Last Update Date	:	06/15/2015

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