Provider Information for 1043844160
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SHAMARIA A FAHIE LICSW
Sex: Female
NPI: 1043844160
Last Updated: 2020-02-27
Certification Date: 2020-02-27
Certification Date: 2020-02-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043844160 | ||||||||
| Enumeration Date | 2020-02-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 18204 WILLOW CREEK WAY APT G MONTGOMERY VILLAGE, MD 20886-0427 United States Phone: 619-597-9512 | Fax: | ||||||||
| Primary Practice Address | 18204 WILLOW CREEK WAY APT G MONTGOMERY VILLAGE, MD 20886-0427 United States Phone: 619-597-9512 | Fax: | ||||||||
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