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Individual
MS. MAUREEN RIST MARCHESSAULT
Active
Individual
MS. MAUREEN RIST MARCHESSAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
044391-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044391-1
NYS LCSWR LICENSE
—
Enumeration date
08/17/2005
Last updated
12/18/2007
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