Individual
SHANNA BEVERLY MCGUSTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11308 GOLDEN EAGLE PL UNIT E, WALDORF, MD 20603-5978
(301) 710-8447
Mailing address
11308 GOLDEN EAGLE PL UNIT E, WALDORF, MD 20603-5978
(301) 710-8447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24388
MD
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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