Individual
AVITAL SHAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1340 SMITH AVE, SUITE 200, BALTIMORE, MD 21209-3701
(410) 779-1232
Mailing address
1340 SMITH AVE, SUITE 200, BALTIMORE, MD 21209-3701
(410) 779-1232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP6460
MD
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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