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NPI Code Detail

MEDICARE: EMILY MARSHALL LMSW

MEDICARE: EMILY MARSHALL LMSW
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 Worker6801094219MI

General Provider Information

NPI Number : 1982567871
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MARSHALL LMSW
Provider Business Mailing Address
First Line : 2618 THAYER DR
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-2032
Country : US
Telephone Number : 269-470-3315
Fax Number :
Provider Business Practice Location Address
First Line : 2618 THAYER DR
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-2032
Country : US
Telephone Number : 269-470-3315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ EMILY MARSHALL LMSW” Practice Location

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