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Individual

SHANNON LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LGPC

Contact information

Practice address
3600 CLIPPER MILL RD STE 340, BALTIMORE, MD 21211-1995
(443) 990-1471
Mailing address
13106 SUPERIOR ST, ROCKVILLE, MD 20853-3337
(301) 748-9176

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP15092
MD
101YP2500X
Professional Counselor
LGPC200001689
DC

Other

Enumeration date
06/17/2024
Last updated
08/27/2024
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