Individual
REGINA FIDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 ALLEGHENY AVE, TOWSON, MD 21204-4252
(410) 567-0090
Mailing address
1401 LA BELLE AVE, TOWSON, MD 21204-6614
(443) 801-8848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10324
MD
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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