Individual
TIARAH MARIE FUNDERBURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5820 YORK RD, BALTIMORE, MD 21212-3610
(301) 345-1022
Mailing address
1003 W 7TH ST STE 500, FREDERICK, MD 21701-8512
(301) 345-1022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26353
MD
104100000X
Social Worker
—
MD
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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