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Individual
MARISSA ROGINA
Active
Individual
MARISSA ROGINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.023634
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.023634
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION, LCSW
IL
Enumeration date
12/01/2021
Last updated
12/01/2021
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