Individual
SHANNON RAE GRIEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4000 BLACKBURN LN, BURTONSVILLE, MD 20866-1104
(410) 440-3538
Mailing address
641 ORPINGTON RD, BALTIMORE, MD 21229-2128
(410) 440-3538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP9313
MD
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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