Doctor Name: | CHRISTINE LARRAGOITE |
NPI Number: | 1306884085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W.-C. |
License Number: | 07376 |
Business Practice Address: | 2021 Chaneyville Rd Suite 102 Owings, MD - 207364319 |
Business Phone Number: | 4102860664 |
Business Fax Number: | 4102862834 |
Mailing Address: | Po Box 630973, BALTIMORE |
State: | MD |
Postal Code: | 212630973 |
Phone Number: | 4102860664 |
Fax Number: | 4102862834 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 12/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 07376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |