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Tony Marcus Small

Counselor, Mental Health in Upper Marlboro, MD. Individual provider (NPI-1).

NPI number1043190010
StatusActive
Last updated in NPPESSep 2, 2025

Details

NPI
1043190010
Entity type
Individual (NPI-1)
Name
Tony Marcus Small
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 2, 2025
Certification date
Sep 2, 2025
Last updated
Sep 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

10708 Brookwood Ave
Upper Marlboro, MD 20772-4602

Phone 202-236-7694

Mailing address

10708 Brookwood Ave
Upper Marlboro, MD 20772-4602

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