Individual
SHANTELL ALEXIS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 CLIPPER MILL RD STE 221, BALTIMORE, MD 21211-1948
(410) 835-4696
Mailing address
3600 CLIPPER MILL RD STE 221, BALTIMORE, MD 21211-1948
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26087
MD
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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