Provider Information for 1598062994
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Mrs. JENNY ELIZABETH MARDER LCSW
Other Names:Professional Name:Ms. JENNIFER ELIZABETH MARDER LCSWSex: Female
NPI: 1598062994
Last Updated: 2025-03-31
Certification Date: 2025-03-31
Certification Date: 2025-03-31
Details
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NPI | 1598062994 | ||||||||||||
Enumeration Date | 2011-02-21 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 1622 W AGAVE LN GREEN VALLEY, AZ 85622-3278 United States Phone: 217-741-7665 | Fax: | ||||||||||||
Primary Practice Address | 1622 W AGAVE LN GREEN VALLEY, AZ 85622-3278 United States Phone: 217-741-7665 | Fax: | ||||||||||||
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