Individual
TIFFANY URBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2670 CRAIN HIGHWAY, SUITE 501, WALDORF, MD 20601
(301) 818-0860
Mailing address
312 ZELMA AVE, CAPITOL HEIGHTS, MD 20743-3123
(301) 385-8401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC12759
MD
101YP2500X
Professional Counselor
LGP10536
MD
Other
Enumeration date
06/30/2020
Last updated
06/29/2022
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