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1114798683
ALISHA SHANTEL CLARK
PARKVILLE, MD
NPI
1114798683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MD LG14531)
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
ALISHA SHANTEL CLARK LGPC
9613 HARFORD RD STE 3
PARKVILLE, MD 21234-2150
Phone number: 410-714-0775
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Mailing Address
ALISHA SHANTEL CLARK LGPC
2701 JEREMY CT APT A
BALTIMORE, MD 21209-3062
Phone number: 443-226-1966
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