Individual
ANEEZA FAZLI-HAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 N BROAD ST, LANSDALE, PA 19446-2414
(215) 368-2022
(215) 855-6454
Mailing address
925 MASTERS WAY, HARLEYSVILLE, PA 19438-2186
(215) 764-6788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015769
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102007451
—
PA
Enumeration date
02/29/2008
Last updated
04/23/2016
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