Individual
MORGAN MACKENZIE WIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5875 CLOVERDALE RD, HURLOCK, MD 21643-3019
(410) 943-3316
Mailing address
3 CEDAR ST, CAMBRIDGE, MD 21613-2362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP7298
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550001
—
MD
Enumeration date
06/12/2017
Last updated
10/30/2024
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