Individual
FATIMA ABDUSSAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5148 HAZEL AVE, PHILADELPHIA, PA 19143-1513
(215) 471-1117
Mailing address
5148 HAZEL AVE, PHILADELPHIA, PA 19143-1513
(215) 471-1117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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