Female

Ms. Caroline Iciek LMSW

Counselor in Bethesda, MD(View on Map)

Full Name

Ms. Caroline Iciek LMSW

NPI Number

1285271569

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/05/2019

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

24523

Contact
Information

Purpose

Mailing
Location

Address

4701 SANGAMORE RD STE N100
4701 SANGAMORE RD STE N100

City

Bethesda
Bethesda

State

MD
MD

Postal Code

20816-2558
20816-2558

Country

US
US

Telephone Number

(240) 780-8734
(240) 780-8734

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/13/2024

Provider Address

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