Individual
SHOAREGED PHILLPOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7622 ERICA LN, LAUREL, MD 20707-3625
(301) 213-9451
Mailing address
7622 ERICA LN, LAUREL, MD 20707-3625
(301) 213-9451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29562
MD
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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