Shantell A. Nelson - Social Worker in Baltimore, Maryland | ProviderWire

Full Name

Shantell Alexis Nelson

NPI Number

1164158663

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/27/2022

Specialties

(Taxonomies)

Name

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

26087

Contact
Information

Purpose

Mailing

Location

Address

3600 CLIPPER MILL RD STE 221

3600 CLIPPER MILL RD STE 221

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21211-1948

21211-1948

Country

US

US

Telephone Number

N/A

(410) 835-4696

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

Data last updated by provider on 07/27/2022

Provider Address

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