Individual
MISS SHANEQUA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1709 HOLAVIEW RD, DUNDALK, MD 21222
(443) 384-7927
Mailing address
70 PASSAIC AVE APT 203, KEARNY, NJ 07032-1165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29075
MD
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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