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Individual

NATHAN GREGORY MAUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
3231 CHESTNUT RIDGE RD, GRANTSVILLE, MD 21536-1370
(301) 450-7274
(301) 238-8044
Mailing address
PO BOX 55, GRANTSVILLE, MD 21536-0055
(301) 450-7274
(301) 238-8044

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP8709
MD

Other

Enumeration date
11/01/2018
Last updated
01/05/2023
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