Individual
TAMARRA PATRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2336 GODDARD PARKWAY, SALISBURY, MD 21801
(410) 334-6961
(410) 334-6960
Mailing address
2336 GODDARD PARKWAY, SALISBURY, MD 21801
(410) 334-6961
(410) 334-6960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G12139
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517251
UHC MAMSI GROUP#
—
01
—
LM49EA
CAREFIRST BCBS GROUP
MD
01
—
R968
CAREFIRST FEDERAL GROUP
—
Enumeration date
10/06/2006
Last updated
07/08/2007
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