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Individual

TAHJA-RAE M DICKENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12410 MILESTONE CENTER DR STE 600, GERMANTOWN, MD 20876-7102
(571) 457-9306
Mailing address
12410 MILESTONE CENTER DR STE 600, GERMANTOWN, MD 20876-7102
(571) 457-9306

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29901
MD
104100000X
Social Worker
Primary
SW138381
PA

Other

Enumeration date
08/01/2021
Last updated
02/04/2026
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