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Individual
MARIAM CISSE
Active
Individual
MARIAM CISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
92806
CA
104100000X
Social Worker
92806
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2018
Last updated
11/13/2019
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