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1336651090
SHIVON MASSENBURG
CROFTON, MD
NPI
1336651090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-11-02
Last Update Date
2024-06-02
Business Address
SHIVON MASSENBURG NCC
2138 PRIEST BRIDGE CT STE 1
CROFTON, MD 21114-2463
Phone number: 443-351-8033
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Mailing Address
SHIVON MASSENBURG NCC
PO BOX 1425
BOWIE, MD 20717-1425
Phone number:
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