Individual
EVELYN TIPTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
47149 BUSE RD, BLDG 1370, PATUXENT RIVER, MD 20670-1540
(301) 342-9503
(301) 342-4718
Mailing address
47149 BUSE RD, BLDG 1370, PATUXENT RIVER, MD 20670-1540
(301) 342-9503
(301) 342-4718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
09453
MD
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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