Individual
DESIRE FADION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 BRIDGEWATER DR, BRYANS ROAD, MD 20616-7045
(443) 307-7642
Mailing address
2850 BRIDGEWATER DR, BRYANS ROAD, MD 20616-7045
(443) 307-7642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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