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Individual

GERMAINE AJAVON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
632 FREDERICK RD # 200, CATONSVILLE, MD 21228-4696
(443) 892-0553
(443) 498-9697
Mailing address
632 FREDERICK RD # 200, CATONSVILLE, MD 21228-4696
(443) 892-0553
(443) 498-9697

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
LC8469
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225094200
MD
Enumeration date
05/10/2016
Last updated
12/20/2021
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