Anthony Fasano

NPI #1225691579 in Aurora, Illinois

Provider Information

NPI Number: 1225691579
Entity Type: Individual
Name: Anthony Fasano
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Apr 22, 2019
Last Updated: Apr 22, 2019

Practice Location

Address: 70 S RIVER ST
City: Aurora
State: Illinois
ZIP Code: 60506-5185
Phone: (630) 844-2662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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