Individual
GWENDOLYN MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
739 CHERRY HILL RD, HEATHSVILLE, VA 22473-2648
(571) 276-3113
Mailing address
1212 4TH ST SE APT 733, WASHINGTON, DC 20003-3498
(860) 575-8347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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