Individual
SHANIQUA PARRISH-BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8284 VOSGES RD, WINDSOR MILL, MD 21244-3367
(410) 913-3911
Mailing address
8284 VOSGES RD, WINDSOR MILL, MD 21244-3367
(410) 913-3911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13086
MD
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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