Individual
MRS. MARY ELLEN SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E PATRICK ST STE 300, FREDERICK, MD 21701-6162
(240) 357-5410
Mailing address
7309 BEECHTREE DR, MIDDLETOWN, MD 21769-7604
(240) 357-5410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7836
MD
Other
Enumeration date
07/27/2018
Last updated
11/19/2024
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