Individual
SHAKIA JEANETTE HURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DOUGLAS ST NE, WASHINGTON, DC 20002-1080
(347) 456-4698
Mailing address
8805 PRISCILLA CT, LANHAM, MD 20706-3540
(473) 456-4698
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/15/2018
Last updated
08/19/2024
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