Shoumake, Marilyn C

Shoumake, Marilyn C is an individual health care provider with primary practice located at 1580 W Columbia St , Farmington MO 63640-3512. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shoumake, Marilyn C can be contacted via phone (573) 760-1365.

Contact Information

Primary practice address
1580 W Columbia St Farmington MO 63640-3512
Phone: (573) 760-1365
Fax: (573) 760-0354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2008009622 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2008009622 Missouri

Profile Details

NPI number 1548595499
LBN Legal business name Shoumake, Marilyn C
Credentials MSW LCSW BCD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2009
Last updated Feb 21st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers