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1821799388
ANTONIO KALLUNGAL
GAITHERSBURG, MD
NPI
1821799388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704014134)
Enumeration Date
2023-03-13
Last Update Date
2023-03-13
Business Address
ANTONIO KALLUNGAL
18317 WINTER PARK CT
GAITHERSBURG, MD 20879-4626
Phone number: 703-705-2476
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Mailing Address
ANTONIO KALLUNGAL
18317 WINTER PARK CT
GAITHERSBURG, MD 20879-4626
Phone number:
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