Individual
TARIANDA RUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW-C
Contact information
Practice address
2307 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5813
(202) 525-4855
Mailing address
9816 BLACK EAGLE WAY, UPPER MARLBORO, MD 20772-4368
(301) 877-0743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13214
MD
1041C0700X
Clinical Social Worker
Primary
LC50078240
DC
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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