Individual
SHAURICE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 DUKE ST STE 203, PRINCE FREDERICK, MD 20678-6128
(443) 295-8955
Mailing address
65 DUKE ST STE 203, PRINCE FREDERICK, MD 20678-6128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC9946
MD
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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