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Individual

BRIAN SHAVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
621 STEMMERS RUN RD STE E, ESSEX, MD 21221-3386
(410) 574-2500
(410) 574-4478
Mailing address
1040 PARK AVE STE 103, BALTIMORE, MD 21201-5633
(410) 837-3977
(410) 752-4218

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6020
MD

Other

Enumeration date
11/18/2014
Last updated
11/18/2014
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