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Individual

AL-SHAHADA KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6911 LAUREL BOWIE RD STE 309, BOWIE, MD 20715-1712
(301) 755-4021
Mailing address
4525 FAIRFAX RD UNIT 1, BALTIMORE, MD 21216-1502

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/17/2025
Last updated
04/17/2025
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