Provider Demographics
NPI:1255516498
Name:MARMAUD, VERONICA SUSAN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:SUSAN
Last Name:MARMAUD
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 1:1027 PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4334
Mailing Address - Country:US
Mailing Address - Phone:919-463-5415
Mailing Address - Fax:919-463-5415
Practice Address - Street 1:1027 PLANTATION DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4334
Practice Address - Country:US
Practice Address - Phone:919-463-5415
Practice Address - Fax:919-463-5415
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO34411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical