Fedorko, Susan Michelle

Fedorko, Susan Michelle is an sole proprietor health care provider with primary practice located at 11937 Azalea Dr , Hagerstown MD 21740-2371. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fedorko, Susan Michelle can be contacted via phone (301) 992-0825.

Contact Information

Primary practice address
11937 Azalea Dr Hagerstown MD 21740-2371
Phone: (301) 992-0825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 17268 Maryland

Profile Details

NPI number 1598003519
LBN Legal business name Fedorko, Susan Michelle
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2013
Last updated Sep 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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