Most Relevant Information
Provider Data
| NPI Number: | 1003475419 |
| Provider Name: | SHAYNA PAULINE CHURCH LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2019 |
| Last Updated: | 07/10/2019 |
Provider Practice Location
300 TALBOT ST
EASTON
MD
216013525
Practice Location Phone/Fax
| Phone: | 4108221018 |
| Fax: | 4108205884 |
Provider Mailing Location
300 TALBOT ST
EASTON
MD
216013525
Provider Mailing Phone/Fax
| Phone: | 4108221018 |
| Fax: | 4108205884 |