Individual
TARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 ORCHARD SHADE RD, RANDALLSTOWN, MD 21133-2456
(443) 488-3779
Mailing address
3500 ORCHARD SHADE RD, RANDALLSTOWN, MD 21133-2456
(443) 488-3779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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