Individual
TIEESHA TAMAR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3219 75TH AVE APT 204, LANDOVER, MD 20785-1918
(301) 919-2439
Mailing address
3219 75TH AVE APT 204, LANDOVER, MD 20785-1918
(301) 919-2439
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/23/2023
Last updated
06/08/2023
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