person
Shantae Elliott-lucas
Professional Counselor in Upper Marlboro, Maryland
NPI 1760865091

Shantae Elliott-lucas is a Professional Counselor based in Upper Marlboro, MD and is specialized in Professional. Shantae Elliott-lucas practices in Upper Marlboro, MD. The NPI Number for Shantae Elliott-lucas is 1760865091 and holds a License No. LGP6351 (Maryland).

The current practice location address for Shantae Elliott-lucas is 12801 Dunkirk Dr, Upper Marlboro, MD and can be reached out via phone at 240-324-7535.

Location: 12801 Dunkirk Dr, Upper Marlboro, MD, 20772-9328
person
Provider Profile Details
NPI Number
1760865091
Provider Name
Shantae Elliott-lucas
Credential
Provider Entity Type
Individual
Gender
Female
Address
12801 Dunkirk Dr, Upper Marlboro, MD, 20772-9328
Phone Number
240-324-7535
Fax Number
Provider Enumeration Date
07/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12801 Dunkirk Dr
City
State
Zip
20772-9328
Phone Number
240-324-7535
Fax Number
person
Provider Business Mailing Address Details
Address
12801 Dunkirk Dr
City
State
Zip
20772-9328
Phone Number
240-324-7535
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LGP6351 (Maryland)
Definition
Definition to come...
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