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1033877618
DEVETTA SHAUNTA WILSON
ELKRIDGE, MD
NPI
1033877618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC14542)
Enumeration Date
2021-12-01
Last Update Date
2024-03-19
Business Address
DEVETTA SHAUNTA WILSON LCPC
6030 MARSHALEE DR STE M114
ELKRIDGE, MD 21075-5987
Phone number: 443-591-0202
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Mailing Address
DEVETTA SHAUNTA WILSON LCPC
414 HOWARD MANOR DR
GLEN BURNIE, MD 21060-8260
Phone number: 443-591-0202
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