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Paul Everett Marshall
Peer Specialist in Broken Arrow, Oklahoma
NPI 1134994627

Paul Everett Marshall is a Peer Specialist based in Broken Arrow, OK. Paul Everett Marshall practices in Broken Arrow, OK. The NPI Number for Paul Everett Marshall is 1134994627 and holds a License No. (Oklahoma).

The current practice location address for Paul Everett Marshall is 1412 E Boston St, Broken Arrow, OK and can be reached out via phone at 918-340-4253.

Location: 1412 E Boston St, Broken Arrow, OK, 74012-7260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134994627
Provider Name
Paul Everett Marshall
Credential
Provider Entity Type
Individual
Gender
Male
Address
1412 E Boston St, Broken Arrow, OK, 74012-7260
Phone Number
918-340-4253
Fax Number
Provider Enumeration Date
11/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1412 E Boston St
City
Broken Arrow
State
Oklahoma
Zip
74012-7260
Phone Number
918-340-4253
Fax Number
person
Provider Business Mailing Address Details
Address
1412 E Boston St
City
Broken Arrow
State
Oklahoma
Zip
74012-7260
Phone Number
918-340-4253
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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