Charles, Shawntese Elicia

Charles, Shawntese Elicia is an sole proprietor health care provider with primary practice located at 2904 Nemeth Ln , Bowie MD 20716-1213. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Charles, Shawntese Elicia can be contacted via phone (240) 643-3894.

Contact Information

Primary practice address
2904 Nemeth Ln Bowie MD 20716-1213
Phone: (240) 643-3894
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15830 Maryland

Profile Details

NPI number 1568903615
LBN Legal business name Charles, Shawntese Elicia
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2017
Last updated Mar 8th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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