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Individual

MR. GERARD LENNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LGSW

Contact information

Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-5104
Mailing address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-5104
(410) 996-5197

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
G11988
MD

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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