Most Relevant Information
Provider Data
| NPI Number: | 1003179094 |
| Provider Name: | DANELLE W MARSHALL LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LMSW-13635 |
Most Important Dates
| Enumeration Date: | 06/25/2012 |
| Last Updated: | 07/17/2023 |
Provider Practice Location
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE
NM
871022367
Practice Location Phone/Fax
| Phone: | 5052680701 |
| Fax: | 2706896677 |
Provider Mailing Location
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE
NM
871022367
Provider Mailing Phone/Fax
| Phone: | 5052680701 |
| Fax: | 2706896677 |