Individual
SHADEEKA WAINWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRP
Contact information
Practice address
3500 DOLFIELD AVE UNIT 67143, BALTIMORE, MD 21215-8614
(908) 956-3207
Mailing address
3500 DOLFIELD AVE UNIT 67143, BALTIMORE, MD 21215-8614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75421490
MD
Other
Enumeration date
12/17/2024
Last updated
12/18/2024
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