Individual
IYAWAMIWA SHITTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CHARTLEY DRIVE, REISTERSTOWN, MD 21136
(410) 833-7100
(410) 833-0100
Mailing address
11 CHARTLEY DRIVE, REISTERSTOWN, MD 21136
(410) 833-7100
(410) 833-0100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH0001834
MD
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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