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1326829359
SHANELLE SMITH
CATONSVILLE, MD
NPI
1326829359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R205058)
Enumeration Date
2023-10-05
Last Update Date
2023-12-20
Business Address
SHANELLE SMITH
405 FREDERICK RD STE 162
CATONSVILLE, MD 21228
Phone number: 443-637-1007
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Mailing Address
SHANELLE SMITH
405 FREDERICK RD STE 162
CATONSVILLE, MD 21228
Phone number: 443-637-1002
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