Provider Information for 1699319277
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Mrs. SHANICE SHANTE DANIELS LCSW-C
Sex: Female
NPI: 1699319277
Last Updated: 2024-02-28
Certification Date: 2024-02-28
Certification Date: 2024-02-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699319277 | ||||||||
| Enumeration Date | 2019-11-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3827 YOLANDO RD BALTIMORE, MD 21218-2044 United States Phone: 240-521-0747 | Fax: | ||||||||
| Primary Practice Address | 6701 DEMOCRACY BLVD STE 300 BETHESDA, MD 20817-7500 United States Phone: 301-531-4188 | Fax: | ||||||||
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