Individual
SHATERA KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 BENFIELD BLVD STE 200, MILLERSVILLE, MD 21108-3004
(443) 414-9976
Mailing address
1111 BENFIELD BLVD STE 200, MILLERSVILLE, MD 21108-3004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCP11772
MD
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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