Individual
VERA N MOUKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
9614 ANTLER CIR, RANDALLSTOWN, MD 21133-2049
(410) 496-3022
(410) 922-8725
Mailing address
24 ENCHANTED HILLS RD, APT 101, OWINGS MILLS, MD 21117-2532
(202) 674-0901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16529
MD
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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