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1881040582
SHANTISSE MASON
COLUMBIA, MD
NPI
1881040582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MD LC7013)
Enumeration Date
2016-05-11
Last Update Date
2016-05-11
Business Address
SHANTISSE MASON LCPC
6950 COLUMBIA GATEWAY DR
COLUMBIA, MD 21046-2706
Phone number: 410-953-1865
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Mailing Address
SHANTISSE MASON LCPC
6950 COLUMBIA GATEWAY DR
COLUMBIA, MD 21046-2706
Phone number: 410-953-1865
Copy
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