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Individual

CONSTANCE N GAWUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 HEARTLAND CT, UPPER MARLBORO, MD 20774-6098
(301) 978-6383
Mailing address
1200 HEARTLAND CT, UPPER MARLBORO, MD 20774-6098
(301) 978-6383

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1054202
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP1054202
DC

Other

Enumeration date
04/24/2012
Last updated
07/01/2024
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