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Individual

DR. JOHN P FATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
1001 SPRING ST, SUITE 104, SILVER SPRING, MD 20910-4022
(301) 565-2145
Mailing address
1001 SPRING ST, SUITE 104, SILVER SPRING, MD 20910-4022
(301) 565-2145

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LC0023
MD

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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