Individual
DAESEONG SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
429 INGRAM CT, GLEN BURNIE, MD 21061-6125
(443) 585-8167
Mailing address
429 INGRAM CT, GLEN BURNIE, MD 21061-6125
(443) 585-8167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC14961
MD
Other
Enumeration date
12/30/2024
Last updated
01/02/2025
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