Individual
TAMARA RENITA EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1300 MERCANTILE LN STE 141, LARGO, MD 20774-5331
(301) 583-7798
Mailing address
1001 FALLCREST CT, BOWIE, MD 20721-2942
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
A0743
MD
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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