Organization
SHALAIYAH D CORDOBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALAIYAH CORDOBA LCMFT (OWNER)
(443) 561-6139
Entity
Organization
Contact information
Practice address
916 PHILLIP POWERS DR, LAUREL, MD 20707-3517
(443) 561-6139
Mailing address
916 PHILLIP POWERS DR, LAUREL, MD 20707-3517
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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