Provider Demographics
NPI:1710676168
Name:MARCUS, KARISA
Entity Type:Individual
Prefix:
First Name:KARISA
Middle Name:
Last Name:MARCUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 KINGS HWY N STE 304
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1518
Mailing Address - Country:US
Mailing Address - Phone:856-685-5801
Mailing Address - Fax:
Practice Address - Street 1:950 KINGS HWY N STE 304
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1518
Practice Address - Country:US
Practice Address - Phone:856-685-5801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker