Provider Demographics
NPI:1982230579
Name:FISHER, MOLLIE ANN (LMSW)
Entity Type:Individual
Prefix:
First Name:MOLLIE
Middle Name:ANN
Last Name:FISHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 N CRANBERRY RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6308
Mailing Address - Country:US
Mailing Address - Phone:410-259-4435
Mailing Address - Fax:
Practice Address - Street 1:254 N CRANBERRY RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6308
Practice Address - Country:US
Practice Address - Phone:410-259-4435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker