Provider Demographics
NPI:1497184345
Name:MORALES, MARILYN JANETTE (MSW)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:JANETTE
Last Name:MORALES
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 1:13335 TROMPILLA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1929
Mailing Address - Country:US
Mailing Address - Phone:832-291-9871
Mailing Address - Fax:
Practice Address - Street 1:13335 TROMPILLA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-1929
Practice Address - Country:US
Practice Address - Phone:832-291-9871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor