Gomba, Marie T
Gomba, Marie T is an individual health care provider with primary practice located at 2644 Riva Rd , Annapolis MD 21401-7427. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gomba, Marie T can be contacted via phone (410) 222-5000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 07077 | Maryland |
Profile Details
| NPI number | 1336275114 |
|---|---|
| LBN Legal business name | Gomba, Marie T |
| Credentials | MSW , LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Dec 13th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336275114 | NPPES |
| Maryland | Other | 160804 | VALUE OPTIONS |
| Maryland | Other | R731 0005 | VALUE OPTIONS |
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