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Individual

MR. AZON LAJUAN DOWNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
616 BRACEY DR, GLEN BURNIE, MD 21060-8596
(410) 946-7165
Mailing address
616 BRACEY DR, GLEN BURNIE, MD 21060-8596
(410) 946-7165

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/07/2023
Last updated
09/07/2023
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