Individual
SHANDA LARIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 DOLPHIN ST, BALTIMORE, MD 21217-3055
(443) 362-0650
Mailing address
501 DOLPHIN ST, BALTIMORE, MD 21217-3055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPTIONAL
OPTIONAL
MD
Enumeration date
04/30/2019
Last updated
04/30/2019
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