Provider Demographics
NPI:1942337829
Name:MORROCCO, MARCELLE CLAIRE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARCELLE
Middle Name:CLAIRE
Last Name:MORROCCO
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 1:860 LEAVITT LN
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97527-9540
Mailing Address - Country:US
Mailing Address - Phone:541-441-2023
Mailing Address - Fax:
Practice Address - Street 1:860 LEAVITT LN
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-9540
Practice Address - Country:US
Practice Address - Phone:541-471-0155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL3464174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist