Individual
ASHLEY N TYCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-5104
Mailing address
515 W 29TH ST, WILMINGTON, DE 19802-3059
(302) 540-6205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19360
MD
Other
Enumeration date
09/06/2013
Last updated
09/22/2017
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