Individual
MARCELLINA FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(443) 497-8799
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LG50081987
DC
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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