Provider Demographics
NPI:1811131568
Name:COURTS-MARSHALL, CYNTHIA ARLENE (MSW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ARLENE
Last Name:COURTS-MARSHALL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 RED MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1144
Mailing Address - Country:US
Mailing Address - Phone:301-549-4730
Mailing Address - Fax:
Practice Address - Street 1:4220 RED MAPLE CT
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1144
Practice Address - Country:US
Practice Address - Phone:301-549-4730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-25
Last Update Date:2009-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3023931041C0700X
MD066271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical