VIRGINIA G FASS

BRADFORD, PA
NPI1194846360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: PA  PS006376L)
Enumeration Date2007-04-03
Last Update Date2013-01-22
Business Address
-- VIRGINIA G FASS
2 MAIN ST SUITE 315
BRADFORD, PA 16701-2035
Phone number: 814-362-5579
Mailing Address
-- VIRGINIA G FASS
2 MAIN ST STE 315 PO BOX 370
BRADFORD, PA 16701-2037
Phone number: 814-362-5579
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