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Individual

MS. ANN MARIE DIMARCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW ACSW

Contact information

Practice address
91 GRANDVIEW AVE, MORGANTOWN, WV 26501-6969
(304) 290-9732
(304) 291-2918
Mailing address
91 GRANDVIEW AVE, MORGANTOWN, WV 26501-6969
(304) 290-9732

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
OP00939059
WV
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001712447
BCBS
WV
01
264256000
MAGELLAN
WV
01
Y546125
MAGELLAN
WV
Enumeration date
09/05/2006
Last updated
07/03/2018
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