Individual
RONALD MAXWELL GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
Mailing address
1710 D ST SE, WASHINGTON, DC 20003-2410
(202) 321-3860
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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