Individual
ERIC NGUETSOP TIAWOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 PAULA PL APT 2C, ROSEDALE, MD 21237-4623
(443) 635-7025
Mailing address
1 N CHARLES ST, BALTIMORE, MD 21201-3740
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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