Individual
SHATIA PORCHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5545 FORCE RD, BALTIMORE, MD 21206-4619
(443) 769-8639
Mailing address
5545 FORCE RD, BALTIMORE, MD 21206-4619
(443) 769-8639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27753
MD
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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