Individual
TARA GOGOLINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMFT
Contact information
Practice address
2431 CROFTON LN, SUITE 11, CROFTON, MD 21114-1327
(410) 793-7207
Mailing address
2431 CROFTON LN STE 11, CROFTON, MD 21114-1327
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM514
MD
Other
Enumeration date
11/09/2012
Last updated
09/29/2014
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