Individual
TIERRA LEBBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED
Contact information
Practice address
1500 DECEMBER DR APT 304, SILVER SPRING, MD 20904-3611
(252) 259-5829
Mailing address
1500 DECEMBER DR APT 304, SILVER SPRING, MD 20904-3611
(252) 259-5829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07853
MD
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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