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Individual
MARISSA LIAN MARINELLO BUMAGNY
Active
Individual
MARISSA LIAN MARINELLO BUMAGNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
27882
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2017
Last updated
07/29/2022
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