Individual
SHYETTA MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 844-4110
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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