| Micheline Shields, Llc | |
|
354 Dorchester Rd Stevensville MD 21666-3542 | |
| (609) 602-9597 | |
| Not Available |
| Full Name | Micheline Shields, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 354 Dorchester Rd, Stevensville, Maryland |
| Authorized Official Name and Position | Micheline Shields (OWNER) |
| Authorized Official Contact | 6096029597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micheline Shields, Llc 354 Dorchester Rd Stevensville MD 21666-3542 Ph: (609) 602-9597 | Micheline Shields, Llc 354 Dorchester Rd Stevensville MD 21666-3542 Ph: (609) 602-9597 |
| NPI Number | 1053994780 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053994780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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