Individual
MARISA ANA LARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4014J MOUNTVILLE RD UNIT A, JEFFERSON, MD 21755-7713
(240) 986-1001
Mailing address
4014J MOUNTVILLE RD UNIT A, JEFFERSON, MD 21755-7713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28633
MD
Other
Enumeration date
02/20/2023
Last updated
07/03/2024
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