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NPI Code Detail

MEDICARE: MS. ALLISON MARIE MARSHALL

MEDICARE: MS. ALLISON MARIE MARSHALL
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
1106S00000XBehavior Technician18-65634MI

General Provider Information

NPI Number : 1326649369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALLISON MARIE MARSHALL
Provider Business Mailing Address
First Line : 16925 ABILITY WAY
Second Line :
City : GRAND HAVEN
State : MI
Zip : 49417-9325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16925 ABILITY WAY
Second Line :
City : GRAND HAVEN
State : MI
Zip : 49417-9325
Country : US
Telephone Number : 616-935-7606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2020
Last Update Date : 11/05/2020

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Directions to “ MS. ALLISON MARIE MARSHALL ” Practice Location

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