Individual
MS. TARA ELISHA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
37 MAIN ST, REISTERSTOWN, MD 21136-1236
(410) 526-7882
(410) 526-9855
Mailing address
825 QUEENS PARK DR, OWINGS MILLS, MD 21117-2251
(410) 526-7882
(410) 526-9855
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
12720
MD
Other
Enumeration date
05/21/2007
Last updated
07/09/2007
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