Individual
LEE ANN KENNEY-SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
106 MILFORD STREET, 104, SALISBURY, MD 21804-6953
(410) 543-8291
(410) 341-6275
Mailing address
106 MILFORD STREET, 104, SALISBURY, MD 21804
(410) 543-8291
(410) 341-6275
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2137
MD
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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