Individual
MS. DESIREE GOUGHERTY GHARAKHANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1553 MERRITT BLVD, DUNDALK, MD 21222-2113
(410) 282-6144
Mailing address
1553 MERRITT BLVD, DUNDALK, MD 21222-2113
(410) 282-6144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20624
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/08/2014
Last updated
04/13/2015
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