Individual
MRS. COLLEEN WOLF-FISHER TSIKERDANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.G.C.
Contact information
Practice address
9902 MAIDBROOK RD, PARKVILLE, MD 21234-1240
(410) 610-0980
Mailing address
9902 MAIDBROOK RD, PARKVILLE, MD 21234-1240
(410) 610-0980
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GC001221
GENETIC COUNSELING LICENSE
CA
01
—
GC2019-014
GENETIC COUNSELING LICENSE
NM
01
—
GC202
GENETIC COUNSELING LICENSE
KY
Enumeration date
10/11/2019
Last updated
05/20/2020
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