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7491 Old Alexandria Ferry Rd Clinton MD 20772 | |
| (202) 277-5378 | |
| (240) 269-7799 |
| Full Name | |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 7491 Old Alexandria Ferry Rd, Clinton, Maryland |
| Authorized Official Name and Position | Tiffany Dicks (OWNER) |
| Authorized Official Contact | 2402449778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9722 Green Apple Turn Upper Marlboro MD 20772-4423 Ph: (202) 277-5378 | 7491 Old Alexandria Ferry Rd Clinton MD 20772 Ph: (202) 277-5378 |
| NPI Number | 1912514910 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912514910 | NPI | - | NPPES |
| 444331400 | Medicaid | MD |
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