Individual
MRS. INGRID LIDDELL GOGANIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2204 HERRING CREEK DR, ACCOKEEK, MD 20607-3722
(301) 203-7186
Mailing address
2204 HERRING CREEK DR, ACCOKEEK, MD 20607-3722
(301) 203-7186
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
DC
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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