Individual
SHIRLEY BELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5428 LYNVIEW AVE, BALTIMORE, MD 21215-4313
(401) 733-3050
Mailing address
5428 LYNVIEW AVE, BALTIMORE, MD 21215-4313
(401) 733-3050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0015
MD
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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