Individual
MS. GAURI GOUTHAMA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Contact information
Practice address
4502 SCHENLEY RD STE 100A, BALTIMORE, MD 21210-2524
(314) 520-7025
Mailing address
5 ELMHURST RD, BALTIMORE, MD 21210-2216
(314) 520-7025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16884
MD
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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