Sasha Dora Fassett, LCSW

NPI #1114949062 in Vestal, New York

Provider Information

NPI Number: 1114949062
Entity Type: Individual
Name: Sasha Dora Fassett, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 23, 2006
Last Updated: Jun 8, 2008

Practice Location

Address: 1040 VESTAL PKWY E
City: Vestal
State: New York
ZIP Code: 13850-1748
Phone: (607) 237-5411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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