Individual
TIFFANY KIEU TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(410) 444-3800
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(410) 444-3800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29028
MD
106S00000X
Behavior Technician
RBT-21-156763
MD
Other
Enumeration date
02/22/2021
Last updated
08/19/2022
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