Individual
MARCUS MUAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
465 GRAND ST FL 2, NEW YORK, NY 10002-4800
(212) 420-1970
Mailing address
229 W 111TH ST APT 3, NEW YORK, NY 10026-4165
(917) 586-4937
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
063466
NY
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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