Individual
CHERICE CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15518 NORGE CT, BOWIE, MD 20716-1378
(301) 559-9035
Mailing address
1113 OAKDALE DR, HYATTSVILLE, MD 20782-2302
(240) 374-9965
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078005000
—
MD
Enumeration date
01/25/2018
Last updated
03/05/2019
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