Individual
CAROLINE DJOUOM MOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11810 GRAND PARK AVE STE 500, NORTH BETHESDA, MD 20852-8679
(301) 392-7120
Mailing address
6800 WISCONSIN AVE # 1189, CHEVY CHASE, MD 20815-6105
(240) 242-9292
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R205097
MD
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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