Individual
TANIYAH IMANI ABDULBARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 MERCANTILE LN STE 423, LARGO, MD 20774-4301
(301) 851-5954
(301) 851-5932
Mailing address
11729 CAPSTAN DR, UPPER MARLBORO, MD 20772-3926
(240) 688-7932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP13078
MD
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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