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Individual

CARLY BOUGHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 S CROSS ST STE 1, CHESTERTOWN, MD 21620-4705
(844) 244-5264
Mailing address
142 COURSEVALL DR, CENTREVILLE, MD 21617-1824

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28882
MD

Other

Enumeration date
08/24/2022
Last updated
09/02/2025
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