Provider Demographics
NPI:1710324470
Name:MARSHALL, KAREN JO MORSE
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JO MORSE
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:JO
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LICSW
Mailing Address - Street 1:362 N BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1148
Mailing Address - Country:US
Mailing Address - Phone:508-350-2350
Mailing Address - Fax:508-350-2319
Practice Address - Street 1:430 PLYMOUTH ST
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:MA
Practice Address - Zip Code:02338-1342
Practice Address - Country:US
Practice Address - Phone:781-422-2950
Practice Address - Fax:781-422-2955
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1070441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical