Individual
DOMINIQUE NICOLE SMITH-HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 LANGLEY RD N, GLEN BURNIE, MD 21060-6531
(410) 222-0100
Mailing address
7817 MAPLE RUN CT, GLEN BURNIE, MD 21060-8668
(443) 889-3921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2897
MD
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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