Individual
TARA ALISON TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5211 AUTH RD STE 203, SUITLAND, MD 20746-4339
(202) 257-6632
Mailing address
14613 BLACKBURN RD, BURTONSVILLE, MD 20866-1303
(240) 938-0898
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28450
MD
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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