Organization
EVOLVING ME THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANAY DULIC LCSW-C (SOCIAL WORKER/THERAPIST)
(631) 455-8501
Entity
Organization
Contact information
Practice address
109 CONEWAGO CT, OWINGS MILLS, MD 21117-5058
(631) 455-8501
Mailing address
109 CONEWAGO CT, OWINGS MILLS, MD 21117-5058
(631) 455-8501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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