Wills, Marla Jean

Wills, Marla Jean is an individual health care provider with primary practice located at 60448 Surrey Ln , Elkhart IN 46517-9117. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wills, Marla Jean can be contacted via phone (574) 875-1217.

Contact Information

Primary practice address
60448 Surrey Ln Elkhart IN 46517-9117
Phone: (574) 875-1217
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005109A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X S19336 Texas

Profile Details

NPI number 1518945633
LBN Legal business name Wills, Marla Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Apr 9th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518945633 NPPES
Texas Other 118261 AMERICAID GROUP
Texas MEDICAID 167121601 AMERICAID GROUP
Texas Other 237580JJJJ AMERICAID GROUP
Texas Other P00649543 AMERICAID GROUP

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