Provider Demographics
NPI:1689048944
Name:DRAUGHN, TRULY
Entity Type:Individual
Prefix:
First Name:TRULY
Middle Name:
Last Name:DRAUGHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 MARY SHELLEY PL
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-4270
Mailing Address - Country:US
Mailing Address - Phone:301-456-6448
Mailing Address - Fax:
Practice Address - Street 1:3245 HURLOCK PL
Practice Address - Street 2:1204
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-4678
Practice Address - Country:US
Practice Address - Phone:301-456-6448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-23
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator