Individual
OLIVER MUNTEH MAMBONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8400 WOODLAND MANOR DR, LAUREL, MD 20724-1900
(443) 830-4429
Mailing address
8400 WOODLAND MANOR DR, LAUREL, MD 20724-1900
(443) 830-4429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MD
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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