Individual
MRS. TASHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6490 LANDOVER RD, CHEVERLY, MD 20785-1443
(301) 341-5111
Mailing address
6525 CLUSTER PINE CT, WALDORF, MD 20603-6706
(301) 789-9637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC8428
MD
Other
Enumeration date
04/07/2018
Last updated
04/07/2018
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