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1700369956
TELISA MICHELLE HICKSON
ELKRIDGE, MD
NPI
1700369956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 17375)
Enumeration Date
2018-09-13
Last Update Date
2022-07-26
Business Address
TELISA MICHELLE HICKSON LCSW-C
7601 BLUFF POINT LN
ELKRIDGE, MD 21075-7918
Phone number: 301-801-9675
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Mailing Address
TELISA MICHELLE HICKSON LCSW-C
7601 BLUFF POINT LN
ELKRIDGE, MD 21075-7918
Phone number: 301-801-9675
Copy
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