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NPI Code Detail

MEDICARE: MARILYN NYALIMA KASSAY

MEDICARE:   MARILYN NYALIMA KASSAY
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
1104100000XSocial WorkerLG200004700DC
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1235846940
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN NYALIMA KASSAY
Provider Business Mailing Address
First Line : 12106 WESTLOCK PL
Second Line :
City : LAUREL
State : MD
Zip : 20708-2422
Country : US
Telephone Number : 240-260-8656
Fax Number :
Provider Business Practice Location Address
First Line : 12106 WESTLOCK PL
Second Line :
City : LAUREL
State : MD
Zip : 20708-2422
Country : US
Telephone Number : 240-260-8656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2022
Last Update Date : 03/11/2026

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Directions to “ MARILYN NYALIMA KASSAY ” Practice Location

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