Individual
AMANDA SHANKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
711 W 40TH ST STE 356, BALTIMORE, MD 21211-2109
(410) 292-1714
Mailing address
3123 KESWICK RD, BALTIMORE, MD 21211-2737
(443) 994-6714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP14337
MD
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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