Mr Tyrone Delano Willoughby Jr, LCSW-C | |
155 Arthur Ave, Port Deposit, MD 21904-1247 | |
(410) 419-0811 | |
Not Available |
Full Name | Mr Tyrone Delano Willoughby Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 155 Arthur Ave, Port Deposit, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326379678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15041 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Tyrone Delano Willoughby Jr, LCSW-C 155 Arthur Ave, Port Deposit, MD 21904-1247 Ph: (410) 419-0811 | Mr Tyrone Delano Willoughby Jr, LCSW-C 155 Arthur Ave, Port Deposit, MD 21904-1247 Ph: (410) 419-0811 |
Michaela Mitchem Linn, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Marian Dr, Port Deposit, MD 21904 Phone: 443-752-9031 | |
Jamie Weaver, LCSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Craigtown Rd Ste 102, Port Deposit, MD 21904 Phone: 410-642-9172 |