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1548481724
MARILE YVONNE SHACK
SILVER SPRING, MD
NPI
1548481724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MD LGP098)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
MRS. MARILE YVONNE SHACK LGPC
1620 ELTON RD STE 204
SILVER SPRING, MD 20903-1760
Phone number: 301-439-7191
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Mailing Address
MRS. MARILE YVONNE SHACK LGPC
6012 WESTBROOK DR
NEW CARROLLTON, MD 20784-2909
Phone number: 240-898-0384
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