Mrs. Marile Y. Shack LGPC - Professional Counselor in Silver Spring, Maryland | ProviderWire

Full Name

Mrs. Marile Yvonne Shack LGPC

NPI Number

1548481724

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/02/2007

Specialties

(Taxonomies)

Name

Professional Counselor

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LGP098

Contact
Information

Purpose

Mailing

Location

Address

6012 WESTBROOK DR

1620 ELTON RD STE 204

City

New Carrollton

Silver Spring

State

MD

MD

Postal Code

20784-2909

20903-1760

Country

US

US

Telephone Number

(240) 898-0384

(301) 439-7191

Identifiers

Identifier

LGP098

Identifier State

MD

Identifier Issuer

PROFESSIONAL COUNSELOR

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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