Individual
COURTNEY A SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
122 WEBER ST, BALTIMORE, MD 21230-4106
(410) 752-5525
(410) 752-5531
Mailing address
4302 NEWPORT AVE, BALTIMORE, MD 21211-1233
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP330
MD
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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