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Individual

MISS MAIMOUNA KALMOGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
715 OTTIS PLACE NW, WASHINGTON, DC 20010

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
2281846832009
DC

Other

Enumeration date
06/22/2012
Last updated
07/24/2023
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