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1790815074
ELLEN MARIE MONGAN
BALTIMORE, MD
NPI
1790815074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MD D0065840)
Enumeration Date
2007-03-06
Last Update Date
2020-01-28
Business Address
ELLEN MARIE MONGAN MD
6701 N CHARLES ST STE 4104
BALTIMORE, MD 21204-6808
Phone number: 410-938-5382
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Mailing Address
ELLEN MARIE MONGAN MD
PO BOX 5391
BALTIMORE, MD 21209-0391
Phone number: 410-929-4617
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