Individual
MS. HEATHER L SHINNAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6710 RITCHIE HWY # 434F, GLEN BURNIE, MD 21061-2399
(410) 585-4201
(443) 378-5719
Mailing address
15 PHYLLIS DRIVE, GLEN BURNIE, MD 21060
(410) 585-4201
(410) 741-3798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13360
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327808 00
—
MD
Enumeration date
02/17/2010
Last updated
01/09/2014
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