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Organization

SG SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANIA GREENWOOD LCPC (MENTAL HEALTH THERAPIST)
(410) 961-6911
Entity
Organization

Contact information

Practice address
758 W HILLS PKWY, BALTIMORE, MD 21229-1120
(410) 961-6911
Mailing address
758 W HILLS PKWY, BALTIMORE, MD 21229-1120
(410) 961-6911

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1710533716
PRIVATE INSURANCE
Enumeration date
05/29/2021
Last updated
05/29/2021
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