Individual
BARBARA LYNN SHAVATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
8131 RITCHIE HWY, SUITE G, PASADENA, MD 21122-6940
(410) 491-3331
(410) 437-2407
Mailing address
8131 RITCHIE HWY, SUITE G, PASADENA, MD 21122-6940
(410) 491-3331
(410) 437-2407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08472
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08472
LICENSED SOCAL WORKER
MD
Enumeration date
03/19/2008
Last updated
03/19/2008
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