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Individual

DR. PATRICIA L WICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
8 RESERVOIR CIR, SUITE 103, BALTIMORE, MD 21208-6324
(410) 664-0688
(410) 664-0683
Mailing address
8 RESERVOIR CIR, SUITE 103, BALTIMORE, MD 21208-6324
(410) 664-0688
(410) 664-0683

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02763
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004898
VALUEOPTIONS
MD
01
R6690001
BCBS
MD
Enumeration date
01/14/2007
Last updated
07/29/2014
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