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Provider Information for 1437470218


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DENISE JANE WHALL-MARLIN LICSW


Sex: Female

NPI: 1437470218
Last Updated: 2022-03-07
Certification Date: 2022-03-07

Details

NameValue
NPI1437470218
Enumeration Date2010-06-16
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 80 ABINGTON AVE
HOLBROOK, MA 02343-1522
United States

Phone: 617-650-6735 | Fax:
 
Primary Practice Address 1354 HANCOCK ST
QUINCY, MA 02169-5109
United States

Phone: 617-650-6735 | Fax:
 
Secondary Practice Address(es)

2089 3RD AVE
NEW YORK, NY 10029-2184
United States

Phone: 212-828-6144 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - Clinical