Individual
SUSAN LEIGH SHALLCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC13917
MD
101YP2500X
Professional Counselor
LGP11870
MD
Other
Enumeration date
05/24/2022
Last updated
05/30/2023
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