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Individual

SHANITA LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5602 BALTIMORE NATIONAL PIKE, SUITE 700, CATONSVILLE, MD 21228-1411
(410) 744-9100
Mailing address
5602 BALTIMORE NATIONAL PIKE, CATONSVILLE, MD 21228

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15322
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403344200
MD
Enumeration date
09/15/2011
Last updated
09/15/2011
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