Individual
MRS. TAMMYE DESHAWN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
8930 STANFORD BLVD, BALTIMORE, MD 21216
(443) 285-0807
Mailing address
8930 STANFORD BLVD, BALTIMORE, MD 21216
(443) 285-0807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2081
MD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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