Individual
DAWN M SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5209 YORK RD, SUITE B-12, BALTIMORE, MD 21212-4225
(410) 532-2476
(410) 532-2747
Mailing address
5209 YORK RD, SUITE B-12, BALTIMORE, MD 21212-4225
(410) 532-2476
(410) 532-2747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13169
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11967400
CAQH
MD
Enumeration date
07/22/2009
Last updated
07/22/2009
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