Doctor Name: | MRS. MARCEE KLIXBULL |
NPI Number: | 1043436496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW015142 |
Business Practice Address: | 216 N Washington St Butler, PA - 160015241 |
Business Phone Number: | 7242844894 |
Business Fax Number: | 7242838080 |
Mailing Address: | 231 Calico Rd, WEST SUNBURY |
State: | PA |
Postal Code: | 160611507 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW015142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |