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1053167262
GAVIN ELIJAH MCCONNELL
OAKLAND, MD
NPI
1053167262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP15013)
Enumeration Date
2024-04-29
Last Update Date
2024-10-18
Business Address
Mr. GAVIN ELIJAH MCCONNELL LGPC
1025 MEMORIAL DR
OAKLAND, MD 21550-4343
Phone number: 301-334-7680
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Mailing Address
Mr. GAVIN ELIJAH MCCONNELL LGPC
PO BOX 158
GRANTSVILLE, MD 21536-0158
Phone number: 240-956-9650
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