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1780450114
SHAWNTAE MONIQUE BLAKE
SALISBURY, MD
NPI
1780450114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LGP14526)
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
SHAWNTAE MONIQUE BLAKE
100 E MAIN ST STE 502
SALISBURY, MD 21801-5079
Phone number: 667-281-0094
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Mailing Address
SHAWNTAE MONIQUE BLAKE
514 JEFFERSON ST
SALISBURY, MD 21804-3950
Phone number: 240-356-3640
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