Individual
MS. TIFFANY D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14502 GREENVIEW DR STE 202, LAUREL, MD 20708-3287
(240) 581-1500
(240) 513-4122
Mailing address
14502 GREENVIEW DR STE 202, LAUREL, MD 20708-3287
(240) 581-1500
(240) 513-4122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP13111
MD
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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