Individual
TARAH DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12774 WISTERIA DR, 2954, GERMANTOWN, MD 20874
(240) 200-4050
Mailing address
12774 WISTERIA DR # 2954, GERMANTOWN, MD 20874-9998
(240) 200-4050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10149
MD
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/03/2020
Last updated
05/06/2021
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