Individual
SHONTEL GASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1831 FOREST DR STE A, ANNAPOLIS, MD 21401-4430
(443) 465-1901
Mailing address
9808 SOUTHALL RD, RANDALLSTOWN, MD 21133-2014
(443) 465-1901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22638
MD
Other
Enumeration date
07/06/2020
Last updated
07/19/2021
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