Individual
MRS. TANGIE LAVERN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
401 CARROLL ST STE 106, LA PLATA, MD 20646-5987
(240) 441-0894
(240) 776-4047
Mailing address
8410 SWEENEY DR, CLINTON, MD 20735-1979
(240) 441-0894
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP9101
MD
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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