Provider Demographics
NPI:1518179837
Name:MARSHALL, FRAN (LCSW)
Entity Type:Individual
Prefix:
First Name:FRAN
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4186 RED TAIL RUN
Mailing Address - Street 2:
Mailing Address - City:EFLAND
Mailing Address - State:NC
Mailing Address - Zip Code:27243-9720
Mailing Address - Country:US
Mailing Address - Phone:919-215-0488
Mailing Address - Fax:919-304-2957
Practice Address - Street 1:125 E KING ST
Practice Address - Street 2:SUITE C
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2570
Practice Address - Country:US
Practice Address - Phone:919-215-0488
Practice Address - Fax:919-304-2957
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0011771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC139G8OtherBCBS
NC6002351Medicaid