Marisa Bassett De La Garza, MSW, LCSW
NPI #1699832576 in Fayetteville, New York
Provider Information
- NPI Number
- 1699832576
- Entity Type
- Individual
- Name
- Marisa Bassett De La Garza, MSW, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSW
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 17, 2016
Practice Location
- Address
- 217 HIGHBRIDGE ST APT 9
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066-1967
- Phone
- (206) 375-4421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
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