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1225224140
CANDICE TISDALE THOMAS
TOWSON, MD
NPI
1225224140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MD 13576)
Enumeration Date
2007-09-25
Last Update Date
2008-09-17
Business Address
MS. CANDICE TISDALE THOMAS LCSWC ACSW
408 ALLEGHENY AVE
TOWSON, MD 21204-4252
Phone number: 443-798-8832
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Mailing Address
MS. CANDICE TISDALE THOMAS LCSWC ACSW
PO BOX 5521
TOWSON, MD 21285
Phone number: 443-798-8832
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