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1376558098
THADDEUS ANTHONY MIKSINSKI
SEVERNA PARK, MD
NPI
1376558098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 11805)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
Mr. THADDEUS ANTHONY MIKSINSKI LCSW-C
650 RITCHIE HWY SUITE 207
SEVERNA PARK, MD 21146-3916
Phone number: 410-315-9350
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Mailing Address
Mr. THADDEUS ANTHONY MIKSINSKI LCSW-C
2406 FOREST EDGE CT #103 L
ODENTON, MD 21113-2833
Phone number: 410-695-0353
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