Individual
MRS. FERNANDE DEGUENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18805 SPARKLING WATER DR APT T2, GERMANTOWN, MD 20874-2185
(347) 564-5679
Mailing address
18805 SPARKLING WATER DR APT T2, GERMANTOWN, MD 20874-2185
(347) 564-5679
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1317
MD
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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