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MR. TYRONE DELANO WILLOUGHBY LCSW-C

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1326379678

Individual Registrant:
MR. TYRONE DELANO WILLOUGHBY LCSW-C
Gender: M
Sole Proprietor

Location and contact information for practice:
155 ARTHUR AVE  PORT DEPOSIT, MD 21904-1247 US
Tel: 410-419-0811  Fax: --

Contact information for business:
155 ARTHUR AVE  PORT DEPOSIT, MD 21904-1247 US
Tel: 410-419-0811  Fax: --

Registration Information:
NPI: 1326379678
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
MD15041

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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