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Individual
MS. RISA B MARLEN
Active
Individual
MS. RISA B MARLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC04903
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11234845
CAQH
—
01
—
R014995-1
R-CSW
NY
01
—
SC04903
LICENSE CLINICAL SW
NJ
Enumeration date
08/04/2006
Last updated
10/29/2008
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