Individual
SHANTAE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3037 LEMONADE LN, UPPER MARLBORO, MD 20774-2736
(240) 324-7535
Mailing address
3037 LEMONADE LN, UPPER MARLBORO, MD 20774-2736
(240) 324-7535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP6351
MD
Other
Enumeration date
07/06/2015
Last updated
02/27/2026
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