Individual
MRS. SHANNON MONA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
S.MHARRIS2007@GMAIL.COM, 609 PEACE CHANCE DR., HAVRE DE GRACE, MD 21078
(410) 982-2846
Mailing address
S.MHARRIS2007@GMAIL.COM, 609 PEACE CHANCE DR., HAVRE DE GRACE, MD 21078
(410) 982-2846
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19635
MD
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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