Individual
TIERRA RAQUEL MAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
30 E PADONIA RD STE 202, LUTHERVILLE TIMONIUM, MD 21093-2308
(443) 367-1333
Mailing address
204 SAINT CHARLES WAY UNIT E, BOX 372, YORK, PA 17402-4646
(443) 367-1333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29174
MD
Other
Enumeration date
09/12/2022
Last updated
10/12/2024
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