Individual
MS. TANYA LAFALAISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRP
Contact information
Practice address
22 W PENNSYLVANIA AVE STE 200, TOWSON, MD 21204-5017
(410) 330-1595
Mailing address
103 MARINERS WAY, CAMBRIDGE, MD 21613-3059
(443) 787-8189
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
75562276
MD
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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