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Individual
MARISA BASSETT DE LA GARZA
Active
Individual
MARISA BASSETT DE LA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
RC00047900
WA
1041C0700X
Clinical Social Worker
Primary
084302-1
NY
Other
Enumeration date
01/02/2007
Last updated
08/17/2016
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