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Individual
MARISA MEAD
Active
Individual
MARISA MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
105378
CA
1041C0700X
Clinical Social Worker
Primary
135465
CA
225400000X
Rehabilitation Practitioner
—
—
2255R0406X
Blind Rehabilitation Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F4524858
DEPARTMENT OF MOTOR VEHICLES
CA
Enumeration date
10/31/2018
Last updated
11/13/2025
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