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Search › Maryland › 101YM0800X

Destinee Geoghegan

NPI 1417590274 · on the registry since 2019

Practice

Address
11760 Somerset Ave
Princess Anne, MD 21853
Phone
(410) 621-5177
Fax
(410) 621-5051
Organisation at this address
Affiliated Sante Group
Maple Shade Youth & Family Services, Inc.
Maple Shade Youth And Family Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland