Individual
ROSE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
3625 ROCKDALE TER, WINDSOR MILL, MD 21244-3731
(443) 717-0836
Mailing address
9701 PHILADELPHIA CT STE R, LANHAM, MD 20706-4435
(301) 477-3339
(443) 773-5624
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G10908
MD
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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