Individual
MR. TRAVIS LIONEL MACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
7474 GREENWAY CENTER DR STE 202, GREENBELT, MD 20770-3596
(240) 304-3327
(410) 609-7091
Mailing address
7474 GREENWAY CENTER DR STE 202, GREENBELT, MD 20770-3596
(240) 304-3327
(410) 609-7091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP13686
MD
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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