Provider Demographics
NPI:1376357681
Name:EDU, MARENCE EWURAMA
Entity type:Individual
Prefix:
First Name:MARENCE
Middle Name:EWURAMA
Last Name:EDU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14517 ALMANAC DR
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1948
Mailing Address - Country:US
Mailing Address - Phone:301-605-2650
Mailing Address - Fax:
Practice Address - Street 1:14517 ALMANAC DR
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1948
Practice Address - Country:US
Practice Address - Phone:301-605-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD32648104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker