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Individual

TIFFANY KICHLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5028 WISCONSIN AVE NW STE 310, WASHINGTON, DC 20016-4118
(202) 895-3860
Mailing address
6833 4TH ST NW, WASHINGTON, DC 20012-1901

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
06897
MD
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
06897
MD

Other

Enumeration date
06/01/2023
Last updated
06/01/2023
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