Individual
MS. SHADA MICHELLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4317 HARFORD RD, BALTIMORE, MD 21214-3118
(410) 275-0994
Mailing address
4317 HARFORD RD, BALTIMORE, MD 21214-3118
(410) 275-0994
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25442
MD
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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