Valladares, Marianne S.
Valladares, Marianne S. is an sole proprietor health care provider with primary practice located at 300 East Hospital Rd. , Fort Gordon GA 30905-5650. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Valladares, Marianne S. can be contacted via phone (706) 787-6084.Contact Information
Primary practice address
300 East Hospital Rd.
Fort Gordon GA 30905-5650
Phone: (706) 787-6084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW10948 | Arizona |
Profile Details
| NPI number | 1275587412 |
|---|---|
| LBN Legal business name | Valladares, Marianne S. |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Mar 6th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275587412 | NPPES |
| Arizona | Other | LCSW10948 | AZ BOARD OF BH |
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