Individual
MS. DIANNE LYNN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
505 CECIL AVE, PERRYVILLE, MD 21903-2770
(410) 642-2326
Mailing address
505 CECIL AVE, PERRYVILLE, MD 21903-2770
(410) 642-2326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02178
MD
Other
Enumeration date
08/03/2006
Last updated
09/03/2008
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