Individual
TASHA HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 MAIN ST, REISTERSTOWN, MD 21136-1236
(410) 526-7882
Mailing address
4618 HARCOURT RD, BALTIMORE, MD 21214-3338
(443) 839-6124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22154
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XIK905591248
CAREFIRST BLUECHOICE,INC.
MD
Enumeration date
08/14/2016
Last updated
08/14/2016
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