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Individual

DR. DIARI MARCUS BANIGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
113 E 25TH ST, FIRST FLOOR, BALTIMORE, MD 21218-5248
(410) 900-3144
Mailing address
P. O. BOX 805, BEL AIR, MD 21014
(410) 900-3147

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100778
CA
1041C0700X
Clinical Social Worker

Other

Enumeration date
02/04/2011
Last updated
06/20/2024
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