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1508278979
SHANNON EDMISTON
BALTIMORE, MD
NPI
1508278979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD lc5373)
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
-- SHANNON EDMISTON LCPC
5820 YORK RD T300
BALTIMORE, MD 21212-3610
Phone number: 410-989-3899
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Mailing Address
-- SHANNON EDMISTON LCPC
5820 YORK RD T300
BALTIMORE, MD 21212-3610
Phone number: 410-989-3899
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