Individual
AMBER J LASSALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1298 BAY DALE DR, SUITE 211, ARNOLD, MD 21012-2804
(410) 919-4904
Mailing address
1298 BAY DALE DR, SUITE 211, ARNOLD, MD 21012-2804
(410) 919-4904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22010
MD
Other
Enumeration date
09/18/2014
Last updated
08/30/2016
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