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Individual
MARISSA CRYSTAL ENGLEMAN
Active
Individual
MARISSA CRYSTAL ENGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
101866
CA
1041C0700X
Clinical Social Worker
127135
IA
1041C0700X
Clinical Social Worker
22739
AZ
1041C0700X
Clinical Social Worker
Primary
LW61290810
WA
1041S0200X
School Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515282
—
IA
05
—
100367642
—
CA
05
—
2228623
—
WA
Enumeration date
08/12/2014
Last updated
01/16/2025
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