Individual
MR. LAVAUGHN MAURICE TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
1300 MERCANTILE LN STE 208, LARGO, MD 20774-5340
(301) 583-0001
(301) 583-3403
Mailing address
1300 MERCANTILE LN STE 208, LARGO, MD 20774-5340
(301) 583-0001
(301) 583-3403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11017
MD
171M00000X
Case Manager/Care Coordinator
Primary
0029858 00
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029858 00
—
MD
05
—
1720258759
—
MD
Enumeration date
03/05/2008
Last updated
10/07/2024
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