Most Relevant Information
Provider Data
| NPI Number: | 1003397969 |
| Provider Name: | JENNIFER MAE MARCUS LICSW, CCM |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 118382 |
Most Important Dates
| Enumeration Date: | 08/28/2018 |
| Last Updated: | 08/28/2018 |
Provider Practice Location
96 SAWMILL RD
WEST SPRINGFIELD
MA
010891669
Practice Location Phone/Fax
| Phone: | 4134789915 |
| Fax: |
Provider Mailing Location
96 SAWMILL RD
WEST SPRINGFIELD
MA
010891669
Provider Mailing Phone/Fax
| Phone: | 4134789915 |
| Fax: |