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1730887126
DOMINIQUE NICOLE SMITH-HICKS
GLEN BURNIE, MD
NPI
1730887126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD ADT2897)
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
DOMINIQUE NICOLE SMITH-HICKS
122 LANGLEY RD N
GLEN BURNIE, MD 21060-6531
Phone number: 410-222-0100
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Mailing Address
DOMINIQUE NICOLE SMITH-HICKS
7817 MAPLE RUN CT
GLEN BURNIE, MD 21060-8668
Phone number: 443-889-3921
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