Shadow Work Therapeutics, LLC
NPI #1194507202 in Manchester, Maryland
Provider Information
- NPI Number
- 1194507202
- Entity Type
- Organization
- Organization Name
- Shadow Work Therapeutics, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 16, 2023
- Last Updated
- Oct 16, 2023
Practice Location
- Address
- 19408 GUNPOWDER RD
- City
- Manchester
- State
- Maryland
- ZIP Code
- 21102-2606
- Phone
- (443) 627-1687
Authorized Official
- Name
- MIKA UEMATSU
- Title
- OWNER
- Phone
- (443) 627-1687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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