Provider Demographics
NPI:1073777959
Name:MARCH, MICHELLE LYNNE (MSW)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LYNNE
Last Name:MARCH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 RIVERWALK LN
Mailing Address - Street 2:
Mailing Address - City:PORT BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-7052
Mailing Address - Country:US
Mailing Address - Phone:847-462-0048
Mailing Address - Fax:
Practice Address - Street 1:115 RIVERWALK LN
Practice Address - Street 2:
Practice Address - City:PORT BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-7052
Practice Address - Country:US
Practice Address - Phone:847-462-0048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker