Individual
TIA SHEMELL GASQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 WALTERS AVE, BALTIMORE, MD 21239-2826
(443) 378-1187
Mailing address
1202 WALTERS AVE, BALTIMORE, MD 21239-2826
(443) 378-1187
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP15105
MD
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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