Individual
MRS. SHURANDA THEPHANI ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1314 BEDFORD AVE, SUITE 113, PIKESVILLE, MD 21208-6604
(410) 493-7427
Mailing address
1012 KINGSTON RD, PIKESVILLE, MD 21208-4751
(410) 493-7427
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM382
MD
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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