Individual
JANE GURGANIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
8146 QUARTERFIELD RD, SEVERN, MD 21144-2705
(410) 263-0222
(410) 569-0094
Mailing address
1179 DOUBLE CHESTNUT CT, CHESTNUT HILL COVE, MD 21226-2219
(410) 569-9497
(410) 569-0094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11404
MD
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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