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1457085037
TIM DUANE GOUGH
ELKTON, MD
NPI
1457085037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MD 28745)
Enumeration Date
2022-07-11
Last Update Date
2022-07-11
Business Address
Mr. TIM DUANE GOUGH LMSW
200 BOOTH ST
ELKTON, MD 21921-5657
Phone number: 410-996-5104
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Mailing Address
Mr. TIM DUANE GOUGH LMSW
200 BOOTH ST
ELKTON, MD 21921-5657
Phone number: 410-996-5104
Copy
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