Individual
CRYSTAL GAIL TICHNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.G.C.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 502-7161
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
N/A
MD
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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