Individual
GRACE NTAH TABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 HARDWOOD DR, LANHAM, MD 20706-2858
(775) 376-0394
Mailing address
6301 HARDWOOD DR, LANHAM, MD 20706-2858
(775) 376-0394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
HHA11033
WA
Other
Enumeration date
12/22/2014
Last updated
04/01/2025
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