Individual
DESTINEE PARIS GEOGHEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11760 SOMERSET AVE, PRINCESS ANNE, MD 21853-1239
(410) 621-5177
(410) 621-5051
Mailing address
11760 SOMERSET AVE, PRINCESS ANNE, MD 21853-1239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25481
MD
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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