Individual
SHANNON MARTIN DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
01/02/2025
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