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Individual
MARYANN MARSTON
Active
Individual
MARYANN MARSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
104100000X
Social Worker
Primary
087049-1
NY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/15/2012
Last updated
02/26/2020
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