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1598227043
LAVINA MIRANDA THOMPSON BOWLING
LARGO, MD
NPI
1598227043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC7467)
Enumeration Date
2019-04-03
Last Update Date
2019-06-11
Business Address
LAVINA MIRANDA THOMPSON BOWLING LCPC
1300 MERCANTILE LN STE 198
LARGO, MD 20774-5339
Phone number: 301-386-2991
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Mailing Address
LAVINA MIRANDA THOMPSON BOWLING LCPC
6314 GLENN DALE RD
GLENN DALE, MD 20769-9207
Phone number: 732-801-9006
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