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Individual

SHELBY STANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5900 METRO DR, BALTIMORE, MD 21215-3207
(410) 318-6780
Mailing address
406 S BOULDIN ST, BALTIMORE, MD 21224-2319

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
06/22/2021
Last updated
06/22/2021
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