Individual
MRS. SHANNON TAMARA HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5963 RIDGE SPRING CIR, SALISBURY, MD 21801-2431
(410) 831-3496
Mailing address
5963 RIDGE SPRING CIR, SALISBURY, MD 21801-2431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4335
MD
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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