Provider Demographics
NPI:1487305132
Name:MARKLEY, LOUANN
Entity type:Individual
Prefix:
First Name:LOUANN
Middle Name:
Last Name:MARKLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 ORCHARD ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02744-1052
Mailing Address - Country:US
Mailing Address - Phone:774-202-1299
Mailing Address - Fax:
Practice Address - Street 1:651 ORCHARD ST STE 202
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02744-1052
Practice Address - Country:US
Practice Address - Phone:774-202-1299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker