Individual
SHANDRA RIDGELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1120 N CHARLES ST, BALTIMORE, MD 21201-5592
(443) 492-9744
Mailing address
1120 N CHARLES ST, BALTIMORE, MD 21201-5592
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LGP14645
MD
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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