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1164980074
SHANICE HACKLEY
BALTIMORE, MD
NPI
1164980074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: MD 22031)
Enumeration Date
2019-03-10
Last Update Date
2019-03-10
Business Address
SHANICE HACKLEY LGSW
3800 FREDERICK AVE
BALTIMORE, MD 21229-3618
Phone number: 443-687-1147
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Mailing Address
SHANICE HACKLEY LGSW
4204 MORRISON CT
BALTIMORE, MD 21226-1317
Phone number: 443-687-1147
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