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Individual

LINDA NISANOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
166 DEFENSE HWY, ANNAPOLIS, MD 21401-8919
(410) 684-3806
Mailing address
4901 SEMINARY RD APT 1403, ALEXANDRIA, VA 22311-1830
(917) 536-3475

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
09/23/2024
Last updated
09/23/2024
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