Individual
FALLON SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 INDUSTRIAL PARK RD # RS, PLYMOUTH, MA 02360-4881
(508) 747-7094
Mailing address
3930 KNOWLES AVE STE 200, KENSINGTON, MD 20895-2428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20545
MD
104100000X
Social Worker
50080486
DC
Other
Enumeration date
01/05/2015
Last updated
10/21/2020
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