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Individual

MS. ANGELA NICOLE NICKLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
2900 MACARTHUR RD, FORT MEADE, MD 20755-2123
(410) 222-6504
Mailing address
902 9TH ST, PASADENA, MD 21122-1804
(443) 386-0972

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05065
MD

Other

Enumeration date
12/18/2018
Last updated
12/18/2018
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