Individual
ANGELIQUE GWINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSC-AD
Contact information
Practice address
1308 BUSINESS CENTER WAY STE 102, EDGEWOOD, MD 21040-1504
(443) 461-3311
Mailing address
3311 BETTERTON CIR, ABINGDON, MD 21009-2511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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