Provider Demographics
NPI:1679600803
Name:HOOD, MARLO
Entity type:Individual
Prefix:MRS
First Name:MARLO
Middle Name:
Last Name:HOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MARLO
Other - Middle Name:
Other - Last Name:HOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 S STEWART ST
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75693-1515
Mailing Address - Country:US
Mailing Address - Phone:541-999-1034
Mailing Address - Fax:
Practice Address - Street 1:201 S STEWART ST
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:TX
Practice Address - Zip Code:75693-1515
Practice Address - Country:US
Practice Address - Phone:541-999-1034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker