MRS. Lisa Marie Marshall, PRSS
NPI #1699409961 in Fayetteville, West Virginia
Provider Information
- NPI Number
- 1699409961
- Entity Type
- Individual
- Name
- MRS. Lisa Marie Marshall, PRSS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Credential
- PRSS
- Enumeration Date
- Jul 13, 2022
- Last Updated
- Jul 13, 2022
Practice Location
- Address
- 209 W MAPLE AVE
- City
- Fayetteville
- State
- West Virginia
- ZIP Code
- 25840-1413
- Phone
- (304) 574-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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