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1861845067
CHANELL GAINES
WALDORF, MD
NPI
1861845067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: DC PRC14169)
Enumeration Date
2016-07-22
Last Update Date
2024-08-02
Business Address
CHANELL GAINES LPC
9752 WESTPHALIA ST
WALDORF, MD 20603-5365
Phone number: 703-627-9773
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Mailing Address
CHANELL GAINES LPC
9752 WESTPHALIA ST
WALDORF, MD 20603-5365
Phone number: 703-627-9773
Copy
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