Organization
MORRALEE COMMUNITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAVON MCMILLIAN LCPC (OWNER)
(443) 761-0345
Entity
Organization
Contact information
Practice address
4212 WENTWORTH RD, GWYNN OAK, MD 21207-7432
(443) 761-0345
Mailing address
4212 WENTWORTH RD, GWYNN OAK, MD 21207-7432
(443) 761-0345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
01/30/2024
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