Individual
DOLORES CARMEN GUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
751 TWINBROOK PKWY, ROCKVILLE, MD 20851-1400
(240) 777-1686
Mailing address
1410 GREEN RIDGE ROAD, ORRTANNA, PA 17353
(240) 777-1686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1053
MD
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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