Individual
MR. ERIC ALEXANDER SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
10 N GREENE ST, HCHV UNIT, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
555 BASEHOAR SCHOOL RD, LITTLESTOWN, PA 17340-9538
(410) 960-3126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14007
MD
Other
Enumeration date
02/04/2008
Last updated
11/02/2010
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