Organization
MASN LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRELLE W DICKERSON LCSW-C (CHIEF OPERATIONS OFFICER)
(144) 449-0409
Entity
Organization
Contact information
Practice address
1900 E NORTHERN PKWY STE 300-302, BALTIMORE, MD 21239-2113
(443) 449-0409
Mailing address
1900 E NORTHERN PKWY STE 300-302, BALTIMORE, MD 21239-2113
(443) 449-0409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
04/07/2025
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