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Individual

RAQUEL MARLISE CHERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
6475 NEW HAMPSHIRE AVE STE 650, HYATTSVILLE, MD 20783
(585) 414-1631
Mailing address
8824 LANIER DR APT 104, SILVER SPRING, MD 20910-2318
(585) 414-1631

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
72 094162
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72 094162
NY
05
72094162
NY
Enumeration date
11/16/2015
Last updated
08/15/2018
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