Organization · NPI-2

Ava Barron-Shasho, Lcsw-C, LLC

Social Worker, Clinical · Owings Mills, MD

NPI number1972893733
StatusActive
Last updated in NPPESMay 5, 2011

Details

NPI
1972893733
Entity type
Organization (NPI-2)
Legal business name
Ava Barron-Shasho, Lcsw-C, LLC
Organization subpart
No
Enumeration date
Apr 13, 2011
Last updated
May 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical08655MDYes

Practice location

10806 Reisterstown Rd
Suite 1b
Owings Mills, MD 21117-2700

Phone 410-356-0796

Mailing address

10806 Reisterstown Rd
Suite 1b
Owings Mills, MD 21117-2700

Phone 410-356-0796

Authorized official

Ava Iris Barron-Shasho
Owner
4103560796

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