Individual
JOHN TIBBITTS SLOCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 BALTIMORE ST, CUMBERLAND, MD 21502-2302
(301) 777-0620
(301) 777-2906
Mailing address
134 BALTIMORE ST, CUMBERLAND, MD 21502-2302
(301) 777-0620
(301) 777-2906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04526
MD
1041C0700X
Clinical Social Worker
04256
MD
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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