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NPI Code Detail

MEDICARE: KRISTIE MARR LCSWA

MEDICARE: KRISTIE MARR LCSWA
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
1104100000XSocial Worker
21041C0700XClinical Social WorkerP022125NC

General Provider Information

NPI Number : 1932452992
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIE MARR LCSWA
Provider Business Mailing Address
First Line : 34 MYRTLE ST
Second Line :
City : BELMONT
State : NC
Zip : 28012-5200
Country : US
Telephone Number : 704-268-9212
Fax Number :
Provider Business Practice Location Address
First Line : 34 MYRTLE ST
Second Line :
City : BELMONT
State : NC
Zip : 28012-5200
Country : US
Telephone Number : 704-268-9212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2012
Last Update Date : 01/09/2026

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Directions to “ KRISTIE MARR LCSWA” Practice Location

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