Individual
MR. JUSTIN DAVID MAVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6410 DOBBIN RD STE F, COLUMBIA, MD 21045-4774
(240) 304-3327
Mailing address
7474 GREENWAY CENTER DR STE 200, GREENBELT, MD 20770-3524
(240) 304-3327
(410) 609-7091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22926
MD
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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