Individual
SIDNEY THEODORE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
17904 GEORGIA AVE STE 200, OLNEY, MD 20832-2277
(240) 304-3327
Mailing address
7474 GREENWAY CENTER DR STE 200, GREENBELT, MD 20770-3524
(240) 304-3327
(410) 609-7091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27312
MD
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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