Shade, Colette Ann

Shade, Colette Ann is an sole proprietor health care provider with primary practice located at 6802 Mcclean Blvd , Parkville MD 21234-7200. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Shade, Colette Ann can be contacted via phone (410) 444-3800.

Contact Information

Primary practice address
6802 Mcclean Blvd Parkville MD 21234-7200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1316537731
LBN Legal business name Shade, Colette Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2021
Last updated Jan 20th, 2021 - about 5 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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