Individual
NICOLE ANGELA TABBACHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
600 W PATRICK ST, FREDERICK, MD 21701-4028
(757) 561-8184
Mailing address
600 W PATRICK ST, FREDERICK, MD 21701-4028
(757) 561-8184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23733
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
08/15/2018
Last updated
06/05/2019
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