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Individual

DR. AVIDAN MILEVSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LGPC

Contact information

Practice address
8600 LASALLE RD, CHESTER BUIL. 325, TOWSON, MD 21286-2001
(410) 321-6035
(410) 321-6176
Mailing address
8600 LASALLE RD, CHESTER BUIL. 325, TOWSON, MD 21286-2001
(410) 321-6035
(410) 321-6176

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP3161
MD

Other

Enumeration date
07/06/2009
Last updated
07/06/2009
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