Individual
DR. FREDERICK ANDREW DIBLASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
429 ASBURY DR, SEVERNA PARK, MD 21146-1373
(410) 706-7799
Mailing address
550 GRAYS CREEK RD, PASADENA, MD 21122-5510
(410) 706-7799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05321
MD
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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