Individual
FARAH VANGENDEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
31413 WINTERPLACE PKWY STE 102, SALISBURY, MD 21804-1877
(410) 742-3055
(443) 944-0095
Mailing address
31413 WINTERPLACE PKWY STE 102, SALISBURY, MD 21804-1877
(410) 742-3055
(443) 944-0095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09225
MD
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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