Individual
KATHLEEN STEPHANIE VAN FOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
206 DEL RHODES, STE 203, QUEENSTOWN, MD 21658
(410) 827-6300
(410) 827-6363
Mailing address
300 TALBOT ST, EASTON, MD 21601
(410) 822-1018
(410) 820-5884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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