Individual
LORETTA M VASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7237 HOLLYWOOD RD, FORT WASHINGTON, PA 19034-1236
(215) 692-2753
(215) 643-9800
Mailing address
1832 SHARON RD, MEADOWBROOK, PA 19046-1125
(215) 692-2753
(215) 643-9800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
467135
PA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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