| Doctor Name: | MS. SUSAN K MARCUM |
| NPI Number: | 1053377689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | S0022219 |
| Business Practice Address: | 3086 State Route 160 Woodland Centers Inc Gallipolis, OH - 456318409 |
| Business Phone Number: | 7404465500 |
| Business Fax Number: | 7404414402 |
| Mailing Address: | 3086 State Route 160, Woodland Centers Inc GALLIPOLIS |
| State: | OH |
| Postal Code: | 456318409 |
| Phone Number: | 7404465500 |
| Fax Number: | 7404414402 |
| NPI Enumeration Date: | 04/22/2006 |
| NPI Last Update Date: | 03/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | S0022219 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |