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Marissa Lian Marinello Bumagny, LMSW

Social Worker, Clinical in Gaithersburg, MD. Individual provider (NPI-1).

NPI number1497268338
StatusActive
Last updated in NPPESJul 29, 2022

Details

NPI
1497268338
Entity type
Individual (NPI-1)
Name
Marissa Lian Marinello Bumagny
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 14, 2017
Certification date
Jul 29, 2022
Last updated
Jul 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical27882MDYes
101Y00000X Counselor––
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

604 S Frederick Ave Ste 211
Gaithersburg, MD 20877-1282

Phone 667-668-2566

Mailing address

605 S Frederick Ave Ste 211
Gaithersburg, MD 20877-1241

Phone 667-668-2566

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