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Individual
MAEVON ELLIOT GUMBLE
Active
Individual
MAEVON ELLIOT GUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MMT, MT-BC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PCO16736
PA
225A00000X
Music Therapist
12781
—
225A00000X
Music Therapist
MUS.000041
CT
Other
Enumeration date
07/15/2020
Last updated
03/18/2026
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