Most Relevant Information
Provider Data
| NPI Number: | 1003811878 |
| Provider Name: | PENELOPE MARSHALL M.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | PSW 632 |
Most Important Dates
| Enumeration Date: | 06/16/2005 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
9220 BONITA BEACH RD
STE 227
BONITA SPRINGS
FL
341354236
Practice Location Phone/Fax
| Phone: | 2392930122 |
| Fax: |
Provider Mailing Location
10080 SPYGLASS HILL LN
FT MYERS
FL
339127971
Provider Mailing Phone/Fax
| Phone: | 2392755002 |
| Fax: |