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Individual

SHAKORA H BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D., LCPC

Contact information

Practice address
11670 OLD NATIONAL PIKE, SUITE 103, NEW MARKET, MD 21774-6121
(301) 865-2226
(301) 865-6720
Mailing address
11670 OLD NATIONAL PIKE, SUITE 103, NEW MARKET, MD 21774-6121
(301) 865-2226
(301) 865-6720

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7446
MD

Other

Enumeration date
10/26/2016
Last updated
01/11/2017
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