Individual
MR. ELIAS JOHN TANCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
1027 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 533-3300
(301) 533-3299
Mailing address
185 RUFFED GROUSE RD, BRUCETON MILLS, WV 26525-6659
(304) 282-1453
(301) 533-3299
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23479
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410467600
—
MD
Enumeration date
12/12/2017
Last updated
12/12/2017
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