Doctor Name: | LORI MARRISON |
NPI Number: | 1447483748 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.I.C.S.W |
License Number: | LW 00009746 |
Business Practice Address: | 10535 Hospital Way Mather, CA - 956554200 |
Business Phone Number: | 8003828387 |
Business Fax Number: | |
Mailing Address: | 10535 Hospital Way, MATHER |
State: | CA |
Postal Code: | 956554200 |
Phone Number: | 8003828387 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2009 |
NPI Last Update Date: | 09/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW 00009746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |