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Individual

MARISA FURLONG

Active
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Individual

MARISA FURLONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LISW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1802453
OH
1041C0700X
Clinical Social Worker
Primary
I.2103323
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I.2103323
STATE OF OHIO COUNSELOR, SOCIAL WORK & MARRIAGE AND FAMILY THERAPIST BOARD
OH
01
—
S.1802453
STATE OF OHIO COUNSELOR, SOCIAL WORK & MARRIAGE AND FAMILY THERAPIST BOARD
OH
Enumeration date
11/19/2018
Last updated
11/08/2023
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