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Individual

ALISHIA SHIFFON ZIMMERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(240) 696-9800
Mailing address
5304 RIGA ST, CLINTON, MD 20735-3637
(301) 728-2888

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701005955
VA
101YP2500X
Professional Counselor
Primary
LC3205
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024017600
MD
Enumeration date
07/24/2009
Last updated
05/03/2024
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