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Individual

IRENE GANGINIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
12 S ADAMS ST, ROCKVILLE, MD 20850-4238
(301) 461-4400
(301) 770-0731
Mailing address
10300 WESTLAKE DR, UNIT S104, BETHESDA, MD 20817-6449
(301) 461-4400

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10327
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
434080900
MD
Enumeration date
06/04/2006
Last updated
06/02/2021
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