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1720646284
KEAH SHAVONZE WOODLAND
BALTIMORE, MD
NPI
1720646284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD 1974)
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
KEAH SHAVONZE WOODLAND
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
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Mailing Address
KEAH SHAVONZE WOODLAND
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
Copy
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