Individual
KARISHMA FAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LGPC
Contact information
Practice address
135 N PARKE ST, ABERDEEN, MD 21001-2428
(443) 625-1600
Mailing address
135 N PARKE ST, ABERDEEN, MD 21001-2428
(443) 625-1600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP15029
MD
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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