Individual
KEYONA HOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 WALNUT AVE, BALTIMORE, MD 21229-1543
(410) 702-8455
Mailing address
1107 WALNUT AVE, BALTIMORE, MD 21229-1543
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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