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NPI Code Detail

MEDICARE: ANGELA MARLIN LCSW

MEDICARE:   ANGELA  MARLIN  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 Worker37161TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137161OTHERTXLICENSE

General Provider Information

NPI Number : 1386385474
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARLIN LCSW
Provider Business Mailing Address
First Line : 907 STEWART DR
Second Line :
City : DALLAS
State : TX
Zip : 75208-3734
Country : US
Telephone Number : 214-354-5058
Fax Number :
Provider Business Practice Location Address
First Line : 907 STEWART DR
Second Line :
City : DALLAS
State : TX
Zip : 75208-3734
Country : US
Telephone Number : 214-354-5058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 04/05/2022

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Directions to “ ANGELA MARLIN LCSW” Practice Location

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