Individual
MS. SHERRIE TREDE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
10436 OWEN BROWN RD., COLUMBIA, MD 21044
(410) 707-0168
(410) 992-5424
Mailing address
1321 GENERALS HIGHWAY, SUITE 203, CROWNSVILLE, MD 21032
(410) 923-0090
(410) 923-0045
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U-01429
MD
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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