Individual
SHANICE FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41900 FENWICK ST, LEONARDTOWN, MD 20650-3814
(301) 609-9887
Mailing address
PO BOX 2924, LA PLATA, MD 20646-2984
(301) 609-9887
(301) 609-9091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MD
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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