Individual
TRACI-SHARA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, CCTP
Contact information
Practice address
7025 MAYFAIR RD, LAUREL, MD 20707-5229
(410) 919-9587
(410) 919-9588
Mailing address
7025 MAYFAIR RD, LAUREL, MD 20707-5229
(410) 919-9587
(410) 919-9588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17960
MD
Other
Enumeration date
02/03/2014
Last updated
02/12/2026
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