Individual
TYRANNY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
107 E 25TH ST, BALTIMORE, MD 21218-5213
(240) 370-8560
Mailing address
4517 BIRCHWOOD DR, BALTIMORE, MD 21229-2490
(240) 370-8560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25511
MD
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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