Individual
MARIE YVONNE FOMBASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 RHODE ISLAND AVE NW, WASHINGTON, DC 20001-4153
(301) 458-9469
Mailing address
11200 LOCKWOOD DR APT 302, SILVER SPRING, MD 20901-4525
(202) 985-8184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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