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Contact Information

MARVIN P VERNON, LCSW
246 N HOBSON WAY
BLYTHE, CA92225
 Phone: 760-921-5004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARVIN P VERNON · (Male)

NPI # 1821262767
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 04/22/2008
Last updated 04/22/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # LCS18547
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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