KEAH SHAVONZE WOODLAND

BALTIMORE, MD
NPI1720646284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MD  1974)
Enumeration Date2019-05-30
Last Update Date2019-05-30
Business Address
KEAH SHAVONZE WOODLAND
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
Mailing Address
KEAH SHAVONZE WOODLAND
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
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