Individual
SALLY ALAGOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5824 EVERHART PL, FORT WASHINGTON, MD 20744-3011
(301) 257-0920
Mailing address
5824 EVERHART PL, FORT WASHINGTON, MD 20744-3011
(301) 257-0920
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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