Individual
GABRIELLE PASUA KENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCW-C
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-3450
Mailing address
200 BOOTH ST, ELKTON, MD 21921-5657
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
12818
MD
Other
Enumeration date
01/27/2013
Last updated
01/27/2013
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