Individual
CHAVON MARIE MCMILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 TOWNE CENTRE BLVD STE 250, ANNAPOLIS, MD 21401-3599
(844) 843-7279
Mailing address
4212 WENTWORTH RD, GWYNN OAK, MD 21207-7432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC12153
MD
Other
Enumeration date
08/22/2013
Last updated
12/28/2021
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