Provider Demographics
NPI:1821246356
Name:ADAMS, MARLI CHRISTINE
Entity Type:Individual
Prefix:MRS
First Name:MARLI
Middle Name:CHRISTINE
Last Name:ADAMS
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 1:201 UFFELMAN DR STE F
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4974
Mailing Address - Country:US
Mailing Address - Phone:931-920-7330
Mailing Address - Fax:931-920-7331
Practice Address - Street 1:201 UFFELMAN DR STE F
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4974
Practice Address - Country:US
Practice Address - Phone:931-920-7330
Practice Address - Fax:931-920-7331
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker