Provider Demographics
NPI:1124336631
Name:GARLO, MARIAH M (MSW)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:M
Last Name:GARLO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-1642
Mailing Address - Country:US
Mailing Address - Phone:215-339-4289
Mailing Address - Fax:215-339-4455
Practice Address - Street 1:3001 MOORE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-1642
Practice Address - Country:US
Practice Address - Phone:215-339-4289
Practice Address - Fax:215-339-4455
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker