Individual
CARLY GASIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1190 WINTERSON RD, LINTHICUM, MD 21090-2209
(410) 684-3806
Mailing address
1190 WINTERSON RD, LINTHICUM, MD 21090-2209
(410) 684-3806
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05548
MD
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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