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Search › Illinois › 104100000X

Carolyn Marty, LSW

NPI 1225464415 · on the registry since 2013

Practice

Address
2323 Windish Dr
Galesburg, IL 61401
Phone
(309) 344-2323
Fax
(309) 344-4368
Organisation at this address
Bridgeway Inc
Bridgeway Inc
Bridgeway Inc.
Bridgeway Inc.
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
80

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois