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1902625916
TAMIKA SHANTAI CLARK
LARGO, MD
NPI
1902625916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: MD G13108)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
TAMIKA SHANTAI CLARK LMSW
1330 MCCORMICK DR.
LARGO, MD 20774
Phone number: 301-772-1200
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Mailing Address
TAMIKA SHANTAI CLARK LMSW
9614 GRANDHAVEN AVE
UPPER MARLBORO, MD 20772-5268
Phone number: 301-938-6927
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