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Individual

TIZIANA DIFABIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
13240 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2640
(240) 428-8227
Mailing address
5268-G NICHOLSON LANE, SUITE 185, KENSINGTON, MD 20895-1009
(240) 428-8227
(301) 434-4896

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/10/2014
Last updated
03/17/2018
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