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NPI Code Detail

MEDICARE: MRS. MARSHA E MORRIS LCSW

MEDICARE:  MRS. MARSHA E MORRIS  LCSW
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 WorkerIL

General Provider Information

NPI Number : 1174711907
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARSHA E MORRIS LCSW
Provider Business Mailing Address
First Line : 2626 N LAKEVIEW AVE
Second Line : #3308
City : CHICAGO
State : IL
Zip : 60614-1827
Country : US
Telephone Number : 773-883-0170
Fax Number :
Provider Business Practice Location Address
First Line : 2626 N LAKEVIEW AVE
Second Line : #3308
City : CHICAGO
State : IL
Zip : 60614-1827
Country : US
Telephone Number : 773-883-0170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2007
Last Update Date : 10/05/2007

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Directions to “ MRS. MARSHA E MORRIS LCSW” Practice Location

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