Individual
MR. TARIIQ OMARI WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
8737 COLESVILLE RD STE 925, SILVER SPRING, MD 20910-3928
(240) 542-8545
Mailing address
7514 HAWTHORNE ST APT 4, HYATTSVILLE, MD 20785-2658
(301) 351-2977
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LGM656
MD
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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