Provider Demographics
NPI:1952845000
Name:ASAMAOH, MARIAN D (MSW)
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:D
Last Name:ASAMAOH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MARIAN
Other - Middle Name:
Other - Last Name:DONKOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:827 AMES HILL DR
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1169
Mailing Address - Country:US
Mailing Address - Phone:978-996-9774
Mailing Address - Fax:508-580-5162
Practice Address - Street 1:1115 WEST CHEESTNUT ST
Practice Address - Street 2:101
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:978-996-9774
Practice Address - Fax:508-580-5162
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical