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1164570354
MARYANNE BONGIOVANI
ELLICOTT CITY, MD
NPI
1164570354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MD 02316)
Enumeration Date
2007-01-06
Last Update Date
2007-07-08
Business Address
Dr. MARYANNE BONGIOVANI
9050 CHEVROLET DR
ELLICOTT CITY, MD 21042-4018
Phone number: 410-750-9493
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Mailing Address
Dr. MARYANNE BONGIOVANI
10527 DORCHESTER WAY
WOODSTOCK, MD 21163-1377
Phone number:
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