Individual
ALISON FASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
521 E JOPPA RD, SUITE 203, TOWSON, MD 21286-5419
(410) 821-9447
(410) 825-2942
Mailing address
109 BONNIE HILL RD, BALTIMORE, MD 21204-4209
(410) 821-9447
(410) 825-2942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05143
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05143
LICENSE CERTIFICATION
MD
Enumeration date
06/01/2007
Last updated
07/08/2007
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