Individual
DEJA ALIYAH GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 FITCH ST SE APT 101, WASHINGTON, DC 20019-5911
(301) 850-2718
Mailing address
5101 FITCH ST SE APT 101, WASHINGTON, DC 20019-5911
(301) 850-2718
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
DC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806333
—
DC
Enumeration date
07/10/2022
Last updated
07/10/2022
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