Individual
NANCY PICCICUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1201 AGORA DR, SUITE LB-2, BEL AIR, MD 21014-6859
(410) 836-7332
Mailing address
3237 UNIONTOWN WAY, ABINGDON, MD 21009-2509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19972
MD
Other
Enumeration date
05/19/2015
Last updated
11/08/2016
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