MEDICARE: MARPU BIAWOGEI MSW,LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033914684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARPU BIAWOGEI MSW,LMSW

Provider Business Mailing Address
First Line	:	6237 SEAL PL
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-4454
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 MERCANTILE LN STE 433
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-4321
Country	:	US
Telephone Number	:	301-246-2011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2025
Last Update Date	:	02/18/2025

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