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Mrs. Marile Yvonne Shack, LGPC
Professional Counselor in Silver Spring, Maryland
NPI 1548481724

Marile Yvonne Shack is a Professional Counselor based in New Carrollton, MD and is specialized in Professional. Marile Yvonne Shack practices in Silver Spring, MD and has the professional credentials of LGPC. The NPI Number for Marile Yvonne Shack is 1548481724 and holds a License No. LGP098 (Maryland).

The current practice location address for Marile Yvonne Shack is 1620 Elton Rd Ste 204, Silver Spring, MD and can be reached out via phone at 301-439-7191.

Location: 1620 Elton Rd Ste 204, Silver Spring, MD, 20784-2909
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Provider Profile Details
NPI Number
1548481724
Provider Name
Marile Yvonne Shack
Credential
LGPC
Provider Entity Type
Individual
Gender
Female
Address
1620 Elton Rd Ste 204, Silver Spring, MD, 20784-2909
Phone Number
301-439-7191
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LGP098 01 MD PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1620 Elton Rd Ste 204
City
State
Zip
20903-1760
Phone Number
301-439-7191
Fax Number
person
Provider Business Mailing Address Details
Address
1620 Elton Rd Ste 204
City
State
Zip
20903-1760
Phone Number
301-439-7191
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LGP098 (Maryland)
Definition
Definition to come...
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