Individual
TAWANA SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 15TH ST SE, WASHINGTON, DC 20003-1518
(202) 817-6610
Mailing address
25 15TH ST SE, WASHINGTON, DC 20003-1518
(202) 817-6610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NONE
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
DC
Enumeration date
07/12/2022
Last updated
07/12/2022
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